Petersen, Glenn D
Petersen, Glenn D is an individual health care provider with primary practice located at 1212 S Broadway Suite 150, Denver CO 80210-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Petersen, Glenn D can be contacted via phone (615) 778-4066.Contact Information
Primary practice address
1212 S Broadway Suite 150
Denver CO 80210-1582
Phone: (615) 778-4066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 00239 | Colorado |
Profile Details
| NPI number | 1013033323 |
|---|---|
| LBN Legal business name | Petersen, Glenn D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jun 12th, 2009 - about 16 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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