Tanner, Glen J

Tanner, Glen J is an individual health care provider with primary practice located at 34597 N 60Th St , Scottsdale AZ 85262-5240. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Tanner, Glen J can be contacted via phone (480) 595-6100.

Contact Information

Primary practice address
34597 N 60Th St Scottsdale AZ 85262-5240
Phone: (480) 595-6100
Fax: (480) 595-6102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 5739 Arizona

Profile Details

NPI number 1942362330
LBN Legal business name Tanner, Glen J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1942362330 NPPES
Arizona Other AZ0244750 BLUE CROSS BLUE SHIELD

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