Thatch, Glynnis L

Thatch, Glynnis L is an individual health care provider with primary practice located at 13121 Olio Rd Ste 300 , Fishers IN 46037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thatch, Glynnis L can be contacted via phone (317) 621-1300.

Contact Information

Primary practice address
13121 Olio Rd Ste 300 Fishers IN 46037
Phone: (317) 621-1300
Fax: (317) 621-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002292A Indiana

Profile Details

NPI number 1366466492
LBN Legal business name Thatch, Glynnis L
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 27th, 2023 - about 3 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 1366466492 NPPES
Indiana Other 251K00000X PUBLIC HEALTH
Indiana MEDICAID 200904280 PUBLIC HEALTH

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