Glick, Greg

Glick, Greg is an individual health care provider with primary practice located at 2600 Campus Dr Suite A, Lafayette CO 80026-3357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Glick, Greg can be contacted via phone (303) 673-1900.

Contact Information

Primary practice address
2600 Campus Dr Suite A Lafayette CO 80026-3357
Phone: (303) 673-1900
Fax: (303) 673-1915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2005-0016 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2290 Colorado

Profile Details

NPI number 1265401756
LBN Legal business name Glick, Greg
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 5th, 2012 - about 14 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 1265401756 NPPES
Colorado MEDICAID 76459551

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