Mohan, Glen A

Mohan, Glen A is an individual health care provider with primary practice located at 1101 Weber Rd Suite 302, Farmington MO 63640-3352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mohan, Glen A can be contacted via phone (573) 756-5787.

Contact Information

Primary practice address
1101 Weber Rd Suite 302 Farmington MO 63640-3352
Phone: (573) 756-5787
Fax: (573) 756-4206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 142519 Missouri

Profile Details

NPI number 1457303968
LBN Legal business name Mohan, Glen A
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 17th, 2017 - about 7 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.

Request for update

Popular Providers