Rivera, Glen

Rivera, Glen is an individual health care provider with primary practice located at 108 Houston St Ste E , Lexington VA 24450-2455. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rivera, Glen can be contacted via phone (540) 463-2227.

Contact Information

Primary practice address
108 Houston St Ste E Lexington VA 24450-2455
Phone: (540) 463-2227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0006682 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102256 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002571 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002571 Virginia

Profile Details

NPI number 1316052111
LBN Legal business name Rivera, Glen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 26th, 2024 - about 2 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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