Glendenning, Timothy John

Glendenning, Timothy John is an individual health care provider with primary practice located at 333 Smith Ave N , Saint Paul MN 55102-2344. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Glendenning, Timothy John can be contacted via phone (651) 241-2100.

Contact Information

Primary practice address
333 Smith Ave N Saint Paul MN 55102-2344
Phone: (651) 241-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 61584 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 61584 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 61630 Minnesota

Profile Details

NPI number 1730455908
LBN Legal business name Glendenning, Timothy John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2012
Last updated Mar 17th, 2018 - about 8 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 1730455908 NPPES
Wisconsin MEDICAID 1730455908

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