Glenn, Jason A.

Glenn, Jason A. is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-4644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Glenn, Jason A. can be contacted via phone (217) 258-4020.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-4644
Phone: (217) 258-4020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 64498 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301111469 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-169489 Illinois

Profile Details

NPI number 1861791386
LBN Legal business name Glenn, Jason A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated May 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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