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Contact Information

GLENN A NANNEY JR, MD
4011 GATEWAY BLVD
NEWBURGH, IN47630-8947
 Phone: 812-450-7246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GLENN A NANNEY JR · (Male)

NPI Number 1679993000
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2014
Last updated 03/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01088937A
  • IN License # 99113777A
  • NC License # 2018-02152
  • WY License # 11513A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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