Mortensen, Glenn O

Mortensen, Glenn O is an individual health care provider with primary practice located at 1750 N 1000 E , Logan UT 84341-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mortensen, Glenn O can be contacted via phone (435) 757-1516.

Contact Information

Primary practice address
1750 N 1000 E Logan UT 84341-1909
Phone: (435) 757-1516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1609171205 Utah

Profile Details

NPI number 1184634669
LBN Legal business name Mortensen, Glenn O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 19th, 2016 - 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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