Mclendon, Glenn W

Mclendon, Glenn W is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mclendon, Glenn W can be contacted via phone (573) 302-1661.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Phone: (573) 302-1661
Fax: (573) 302-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2006004784 Missouri

Profile Details

NPI number 1093963159
LBN Legal business name Mclendon, Glenn W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 8th, 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 1093963159 NPPES
Missouri MEDICAID 1093963159

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