Sinks, Glen A

Sinks, Glen A is an sole proprietor health care provider with primary practice located at 4371 Iron Mountain Blf , Arnold MO 63010-4370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Sinks, Glen A can be contacted via phone (636) 464-7884.

Contact Information

Primary practice address
4371 Iron Mountain Blf Arnold MO 63010-4370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 116464 Missouri

Profile Details

NPI number 1689690810
LBN Legal business name Sinks, Glen A
Credentials FNP, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated May 16th, 2012 - about 12 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 1689690810 NPPES
Missouri MEDICAID 429058902

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