Petersen, Glenn D

Petersen, Glenn D is an individual health care provider with primary practice located at 1212 S Broadway Suite 150, Denver CO 80210-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Petersen, Glenn D can be contacted via phone (615) 778-4066.

Contact Information

Primary practice address
1212 S Broadway Suite 150 Denver CO 80210-1582
Phone: (615) 778-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 00239 Colorado

Profile Details

NPI number 1013033323
LBN Legal business name Petersen, Glenn D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 12th, 2009 - about 17 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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