Glickenberger, Robert S.

Glickenberger, Robert S. is an individual health care provider with primary practice located at 751 N Rutledge St Ste 1100 , Springfield IL 62702-4968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Glickenberger, Robert S. can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Ste 1100 Springfield IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036-107050 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036107050 Illinois

Profile Details

NPI number 1407966690
LBN Legal business name Glickenberger, Robert S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 17th, 2018 - about 7 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 1407966690 NPPES
Illinois Other 036-107050 IL LICNESE

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