Veenstra, Glenn J

Veenstra, Glenn J is an individual health care provider with primary practice located at 7829 E Rockhill St Suite #105, Wichita KS 67206-3920. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Veenstra, Glenn J can be contacted via phone (316) 293-3850.

Contact Information

Primary practice address
7829 E Rockhill St Suite #105 Wichita KS 67206-3920
Phone: (316) 293-3850
Fax: (316) 683-6733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0507 Kansas

Profile Details

NPI number 1285696922
LBN Legal business name Veenstra, Glenn J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 25th, 2009 - about 15 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 1285696922 NPPES
Kansas Other 04414 BCBS
Kansas MEDICAID 100237810A BCBS

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