Counts, Glenda Charlene

Counts, Glenda Charlene is an sole proprietor health care provider with primary practice located at 11 S Division St Ste A , Bonne Terre MO 63628-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Counts, Glenda Charlene can be contacted via phone (573) 723-1100.

Contact Information

Primary practice address
11 S Division St Ste A Bonne Terre MO 63628-1701
Fax: (573) 723-1130
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 139873 Missouri

Profile Details

NPI number 1215258744
LBN Legal business name Counts, Glenda Charlene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2010
Last updated Dec 8th, 2022 - about 4 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 1215258744 NPPES
Missouri MEDICAID 1215258744

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