Thoreson, Glenn M

Thoreson, Glenn M is an individual health care provider with primary practice located at 520 Chautauqua Blvd , Valley City ND 58072-3145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thoreson, Glenn M can be contacted via phone (701) 845-6000.

Contact Information

Primary practice address
520 Chautauqua Blvd Valley City ND 58072-3145
Phone: (701) 845-6000
Fax: (701) 845-6150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3031 North Dakota

Profile Details

NPI number 1851314942
LBN Legal business name Thoreson, Glenn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 10th, 2008 - about 15 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 1851314942 NPPES
North Dakota MEDICAID 12569
North Dakota MEDICAID 553597200

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