Glenn Jay Pedersen (NPI# 1083706162, PAC ID# 8921005513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1083706162 |
| PAC ID by PECOS | 8921005513 |
| Professional Enrollment ID | I20190103001937 |
| Full Name | Glenn Jay Pedersen |
| Address |
421 Sw 1st St Paoli IN 47454-1103 |
| Phone Number | 8122522225 |
| Gender | M |
| Credential | DC |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1982 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 421 Sw 1st St, Paoli, IN 47454-1103 | 8122522225 |
| Street Address |
421 SW 1ST ST |
| City | PAOLI |
| State | IN |
| Zip | 47454-1103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Pardy | Occupational Therapy | 101 Nw 1st St, Suite D, Paoli, IN 47454-1369 | |
| Ryan K Petty | Optometry | Southern Indiana Eye Care LLC | 488 W Hospital Rd, Drs Harmon Petty and Cole, Paoli, IN 47454-8807 |
| Robert David Cole Jr. | Optometry | Southern Indiana Eye Care LLC | 488 W Hospital Rd, Drs Harmon Petty and Cole, Paoli, IN 47454-8807 |
| Michelle M Emmons | Clinical Social Worker | Lifespring, Inc | 488 W Hospital Rd, Paoli, IN 47454-8807 |
| Stephanie D Frye | Nurse Practitioner | Southern Indiana Community Health Care | 420 W Longest St, Comprehensive Health Care, Paoli, IN 47454-8821 |
| Yolanda J Yoder | Family Practice | Southern Indiana Community Health Care | 420 W Longest St, Comprehensive Health Care, Paoli, IN 47454-8821 |
| Lolita A Reasor-burton | Chiropractic | 1670 W Main St, Paoli, IN 47454-9665 | |
| James Donald Mcpherson | Chiropractic | 921 W Hospital Rd, Mcpherson Chiropractic Center, Paoli, IN 47454-9668 | |
| Dwight L Stauffer | Obstetrics/gynecology | 642 W Hospital Rd, Paoli, IN 47454-9672 |
| City | PAOLI |
| Zip Code | 47454 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PAOLI + CHIROPRACTIC |
Please comment or provide details below to improve the information on Glenn Jay Pedersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.