Dr. Herbert Ellis Gladen
Surgeon Surgical Critical Care
428 Sioc St
Colusa
, California 95932-2651
Dr. Herbert Ellis Gladen
Surgeon Surgical Critical Care
428 Sioc St
Colusa
, California 95932-2651
(530) 845-2281
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Dr. Herbert Ellis Gladen
- 428 Sioc St
- Colusa, CA
- Zip : 95932-2651
- Phone : (530) 845-2281
Second Address
- Dr. Herbert Ellis Gladen
- 428 Sioc St
- Colusa, CA
- Zip : 95932-2651
- Phone : (530) 845-2281
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | G59520 | CA |
| Y | 208600000X | Surgeon | G59520 | CA |
| N | 2086S0102X | Surgical Critical Care | G59520 | CA |
National Provider Identifier
| NPI | 1003893207 |
|---|---|
| Provider Name | Dr. Herbert Ellis Gladen |
| First Address | Colusa, CA 95932-2651 |
| Second Address | Colusa, CA 95932-2651 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2005 |
| Last Update Date | 09/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A90025 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.