Petty, Michael Glenn

Petty, Michael Glenn is an sole proprietor health care provider with primary practice located at 500 Harvard St Se , Minneapolis MN 55455-0363. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Petty, Michael Glenn can be contacted via phone (612) 273-5607.

Contact Information

Primary practice address
500 Harvard St Se Minneapolis MN 55455-0363
Phone: (612) 273-5607
Fax: (612) 273-9966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 095570 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X 71 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 71 Minnesota

Profile Details

NPI number 1255951216
LBN Legal business name Petty, Michael Glenn
Credentials RN, ACNS-BC, CCNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2020
Last updated Apr 20th, 2020 - about 5 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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