Glen, Justin

Glen, Justin is an individual health care provider with primary practice located at 1 Medical Center Dr , Galena IL 61036-8118. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Glen, Justin can be contacted via phone (815) 777-1340.

Contact Information

Primary practice address
1 Medical Center Dr Galena IL 61036-8118
Phone: (815) 777-1340
Fax: (815) 777-1821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.018812 Illinois

Profile Details

NPI number 1841554748
LBN Legal business name Glen, Justin
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Jun 26th, 2012 - about 13 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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