Glivinski, Mindy Erin
Glivinski, Mindy Erin is an sole proprietor health care provider with primary practice located at 875 Oak St Se Ste 3010, Salem OR 97301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Glivinski, Mindy Erin can be contacted via phone (503) 399-7520.Contact Information
Primary practice address
875 Oak St Se Ste 3010
Salem OR 97301
Phone: (503) 399-7520
Fax: (503) 362-7344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA01018 | Oregon |
Profile Details
| NPI number | 1235113366 |
|---|---|
| LBN Legal business name | Glivinski, Mindy Erin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jul 22nd, 2011 - about 13 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 | 1235113366 | NPPES |
| Oregon | MEDICAID | 023015 |
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