Moore, Glen O
Moore, Glen O is an individual health care provider with primary practice located at 8383 W Alameda Ave , Lakewood CO 80226-3007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Moore, Glen O can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
8383 W Alameda Ave
Lakewood CO 80226-3007
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0004150 | Colorado |
Profile Details
| NPI number | 1922404623 |
|---|---|
| LBN Legal business name | Moore, Glen O |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2014 |
| Last updated | Nov 2nd, 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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