Burt, Glenn B

Burt, Glenn B is an sole proprietor health care provider with primary practice located at 1901 Westwood Center Blvd , Wausau WI 54401-2892. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Burt, Glenn B can be contacted via phone (715) 355-9700.

Contact Information

Primary practice address
1901 Westwood Center Blvd Wausau WI 54401-2892
Phone: (715) 355-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27936 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27936-020 Wisconsin

Profile Details

NPI number 1891796553
LBN Legal business name Burt, Glenn B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Feb 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891796553 NPPES
Wisconsin MEDICAID 34225100

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