Provider Demographics
NPI:1891554150
Name:GLENN, ANNAMARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNAMARIE
Middle Name:
Last Name:GLENN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 E MIDWAY BLVD UNIT E
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-7009
Mailing Address - Country:US
Mailing Address - Phone:303-990-5029
Mailing Address - Fax:
Practice Address - Street 1:2420 E MIDWAY BLVD UNIT E
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80234-7009
Practice Address - Country:US
Practice Address - Phone:303-990-5029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor