Nelson, Glenn E.

Nelson, Glenn E. is an individual health care provider with primary practice located at 2308 N Rosemont Blvd , Tucson AZ 85712-2139. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Nelson, Glenn E. can be contacted via phone (520) 886-1176.

Contact Information

Primary practice address
2308 N Rosemont Blvd Tucson AZ 85712-2139
Phone: (520) 886-1176
Fax: (520) 290-8894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0310 Arizona

Profile Details

NPI number 1104813237
LBN Legal business name Nelson, Glenn E.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 20th, 2023 - about 2 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 1104813237 NPPES
Arizona Other P00198920 RAIL ROAD MEDICARE
Arizona MEDICAID 701004 RAIL ROAD MEDICARE

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