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Organization
PRIMUS HEALTH CARE PC
Active
Organization
PRIMUS HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW M GLENN MD (OWNER)
(402) 421-2100
Entity
Organization
Contact information
Practice address
3900 PINE LAKE RD, LINCOLN, NE 68516-5489
(402) 421-2100
(402) 421-2104
Mailing address
3900 PINE LAKE RD, LINCOLN, NE 68516-5489
(402) 421-2100
(402) 421-2104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025898200
—
NE
05
—
10025945200
—
NE
05
—
10025945300
—
NE
05
—
10025945400
—
NE
05
—
10025945500
—
NE
05
—
10025945600
—
NE
05
—
10025945700
—
NE
05
—
10025945800
—
NE
05
—
10025951600
—
NE
05
—
10025951700
—
NE
05
—
10025951800
—
NE
05
—
10025951900
—
NE
05
—
10026136000
—
NE
05
—
10026145100
—
NE
05
—
10026145200
—
NE
Enumeration date
08/12/2010
Last updated
05/22/2012
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