Hoversten, Glen H

Hoversten, Glen H is an individual health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hoversten, Glen H can be contacted via phone (541) 222-6200.

Contact Information

Primary practice address
3377 Riverbend Dr Springfield OR 97477-8800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD15392 Oregon

Profile Details

NPI number 1316913882
LBN Legal business name Hoversten, Glen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 13th, 2008 - about 16 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 1316913882 NPPES
Oregon MEDICAID 153593

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