Harden, Glen
Harden, Glen is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1394. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Harden, Glen can be contacted via phone (712) 279-2010.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 27021 | Iowa |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27021 | Iowa |
Profile Details
NPI number | 1962438929 |
---|---|
LBN Legal business name | Harden, Glen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jul 26th, 2012 - about 12 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 | 1962438929 | NPPES |
Other | 33034 | WELLMARK BCBS | |
Other | 24224 | WELLMARK BCBS | |
Other | 421344575 | WELLMARK BCBS | |
MEDICAID | 2130468 | WELLMARK BCBS | |
MEDICAID | 7701190 | WELLMARK BCBS | |
Other | 421344575 | WELLMARK BCBS |
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