Rose, Glenn

Rose, Glenn is an individual health care provider with primary practice located at 1740 E 17Th St Ste B , Idaho Falls ID 83404-6375. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Rose, Glenn can be contacted via phone (208) 529-8832.

Contact Information

Primary practice address
1740 E 17Th St Ste B Idaho Falls ID 83404-6375
Phone: (208) 529-8832
Fax: (208) 522-8725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW1887 Idaho

Profile Details

NPI number 1154507796
LBN Legal business name Rose, Glenn
Credentials LSW1887
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 2008 - 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.

Request for update

Popular Providers