Dr. Glenn Jay Pedersen is a Paoli, Indiana based male chiropractor with 42 years of experience in General Chiropractor. He completed his graduation from National College Of Chiropractic in 1982. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Glenn Jay Pedersen as General Chiropractor is 08000852A in Indiana. Dr. Glenn Jay Pedersen is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Glenn Jay Pedersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
42+ years
Medical School Attended:
National College Of Chiropractic
Graduation Year:
1982
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
421 Sw 1st St, Paoli, Indiana, 47454
Phone:
812-252-2225
Fax:
833-336-4142
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8921005513
Enrollment ID:
I20190103001937
NPI Number:
1083706162
NPI Enumeration Date:
28 Sep, 2006
NPI Last Update On:
02 Jan, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glenn Jay Pedersen are as mentioned below.
License Number
Specialization
State
Status
08000852A
Chiropractor
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Glenn Jay Pedersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01682626
Other
Illinois
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
421 Sw 1st St, Paoli, Indiana
Zip:
47454-1103
Phone Number:
812-252-2225
Fax Number:
833-336-4142
Patients can reach Dr. Glenn Jay Pedersen at 421 Sw 1st St, Paoli, Indiana or can call to book an appointment on 812-252-2225. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.