Glenn, Pamela S.F.
Glenn, Pamela S.F. is an individual health care provider with primary practice located at 1200 Lagoon Ave , Minneapolis MN 55408-2077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Glenn, Pamela S.F. can be contacted via phone (612) 823-6300.Contact Information
Primary practice address
1200 Lagoon Ave
Minneapolis MN 55408-2077
Phone: (612) 823-6300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | R117394-9 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | R034727 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CM000036 | South Dakota |
Profile Details
NPI number | 1003886722 |
---|---|
LBN Legal business name | Glenn, Pamela S.F. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003886722 | NPPES |
Other | 1018938 | PREFERRED ONE | |
Other | 2300764 | PREFERRED ONE | |
Other | 41553 | PREFERRED ONE | |
Other | HP16279 | PREFERRED ONE | |
Other | 07-04217 | PREFERRED ONE | |
Other | 107235 | PREFERRED ONE | |
Other | 408L7GL | PREFERRED ONE |
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