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

Primary practice address
801 5Th St Sioux City IA 51101-1394
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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