JACOB GLENN (NPI# 1245743731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245743731 |
| Entity Type | Individual |
| Full Name | JACOB GLENN |
| Credential | LAC |
| Practice Address |
211 W Myrtle St Ste 104 Fort Collins CO 80521-2917 |
| Practice Telephone | 8133917730 |
| Mailing Telephone | 8133917730 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | ACU.0002339 | CO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861775108 | Jacob Alan Glenn | Pharmacist | 844 W Fremont St, Galesburg, IL 61401-2509 | 2011-09-22 |
| Street Address |
211 W MYRTLE ST STE 104 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1548736937 | Amy Marie Smith | Acupuncturist | 1121 W Prospect Rd Ste B, Fort Collins, CO 80526-5623 | 2018-10-23 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1265934343 | Sarah Elizabeth Thompson | Acupuncturist | 1720 W Mulberry St Ste B7, Fort Collins, CO 80521-3362 | 2018-03-05 |
| 1891210704 | Terry O. Fox | Acupuncturist | 2170 W Drake Rd Unit B3, Fort Collins, CO 80526-1489 | 2017-08-11 |
| 1134671498 | Tristan Alder Mccoy | Acupuncturist | 420 S Howes St Ste A105, Fort Collins, CO 80521-2871 | 2016-11-02 |
| 1316496987 | Alchemi Acupuncture LLC | Acupuncturist | 113 Coronado Ct Unit A1, Fort Collins, CO 80525-4911 | 2016-09-23 |
| 1184078313 | New Leaf Acupuncture Clinic LLC | Acupuncturist | 3932 John F Kennedy Pkwy, Suite F, Fort Collins, CO 80525-3084 | 2016-04-13 |
| 1356700264 | Alchemi Acupuncture | Acupuncturist | 3435 Kenwood Dr, Fort Collins, CO 80524-8511 | 2016-02-19 |
| 1477911964 | Hines Acupuncture | Acupuncturist | 2006 Lexington Ct, Fort Collins, CO 80526-1515 | 2016-01-29 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.