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DR. GLEN C PETTERSEN DC
NPI 1386865319
Chiropractor in Clearwater, FL

Active since May 01, 2007
2451 N MCMULLEN BOOTH RD STE 312B, CLEARWATER, FL 33759(727) 260-4366(727) 222-3838 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2021, Apr 1, 2021 (2 updates tracked since 2021).

About Dr. Glen C Pettersen Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN C PETTERSEN DC (NPI 1386865319) is an individual chiropractor in Clearwater, Florida, licensed in Florida (CH8923) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1386865319
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLEN C PETTERSENCredential: DC
Location Address2451 N MCMULLEN BOOTH RD STE 312BClearwater, FL 33759-1342
Mailing Address2451 N Mcmullen Booth Rd Ste 312bClearwater, FL 33759-1342 · (727) 260-4366 · Fax (727) 222-3838
Phone(727) 260-4366
Fax(727) 222-3838
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1386865319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8923
Definition

A provider qualified by 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.

2451 N MCMULLEN BOOTH RD STE 312B, Clearwater, FL 33759
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Wellpoint.Insurance ›

Frequently Asked Questions

What is Glen Pettersen's NPI number?

The NPI number assigned to this healthcare provider is 1386865319, enumerated as an "individual" on May 01, 2007.

Where is the provider located?

The provider is located at 2451 N MCMULLEN BOOTH RD STE 312B CLEARWATER, FL 33759 and the phone number is (727) 260-4366.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does Glen Pettersen accept?

The provider might be accepting Accepts: Providence Health Plan and Wellpoint. Please consult your insurance carrier or call the provider to verify.