Glynn, Pat
Glynn, Pat is an individual health care provider with primary practice located at 712 S Cascade St , Fergus Falls MN 56537-2913. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Glynn, Pat can be contacted via phone (218) 736-8000.Contact Information
Primary practice address
712 S Cascade St
Fergus Falls MN 56537-2913
Phone: (218) 736-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26242 | Minnesota |
Profile Details
| NPI number | 1710918081 |
|---|---|
| LBN Legal business name | Glynn, Pat |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 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 | 1710918081 | NPPES |
| Minnesota | MEDICAID | 859742100 |
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