Peterson, Glenn Adam
Peterson, Glenn Adam is an individual health care provider with primary practice located at 19835 10Th Ave Ne Ste B , Poulsbo WA 98370-7451. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peterson, Glenn Adam can be contacted via phone (360) 779-7011.Contact Information
Primary practice address
19835 10Th Ave Ne Ste B
Poulsbo WA 98370-7451
Phone: (360) 779-7011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085006213 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61047355 | Washington |
Profile Details
| NPI number | 1972031698 |
|---|---|
| LBN Legal business name | Peterson, Glenn Adam |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2017 |
| Last updated | Jul 21st, 2022 - 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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