Luther, Glenn

Luther, Glenn is an individual health care provider with primary practice located at 2409 Cherry St #305, Toledo OH 43608. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Luther, Glenn can be contacted via phone (419) 251-3740.

Contact Information

Primary practice address
2409 Cherry St #305 Toledo OH 43608
Phone: (419) 251-3740
Fax: (419) 251-3859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 199055 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.00404-NA Ohio

Profile Details

NPI number 1174576482
LBN Legal business name Luther, Glenn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 30th, 2015 - about 10 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 1174576482 NPPES
Ohio MEDICAID 0775577

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