White, Glenn Ray

White, Glenn Ray is an individual health care provider with primary practice located at 112 Jefferson St , West Union IA 52175-1022. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. White, Glenn Ray can be contacted via phone (563) 422-3811.

Contact Information

Primary practice address
112 Jefferson St West Union IA 52175-1022
Phone: (563) 422-3811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2011002332 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D130493 Iowa

Profile Details

NPI number 1497058259
LBN Legal business name White, Glenn Ray
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2010
Last updated Oct 11th, 2018 - about 6 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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