Gleason, Michele L

Gleason, Michele L is an individual health care provider with primary practice located at 611 N Diers Ave Ste 2, Grand Island NE 68803-4960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gleason, Michele L can be contacted via phone (308) 381-4733.

Contact Information

Primary practice address
611 N Diers Ave Ste 2 Grand Island NE 68803-4960
Fax: (308) 381-6462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19617 Nebraska

Profile Details

NPI number 1043214588
LBN Legal business name Gleason, Michele L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1043214588 NPPES
Nebraska MEDICAID 47082399313

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