Glisch, Chad

Glisch, Chad is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Glisch, Chad can be contacted via phone (414) 329-5950.

Contact Information

Primary practice address
8901 W Lincoln Ave West Allis WI 53227-2409
Phone: (414) 329-5950
Fax: (414) 329-5943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 66427 Wisconsin
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 66427 Wisconsin

Profile Details

NPI number 1134514078
LBN Legal business name Glisch, Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Oct 20th, 2023 - about 2 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 1134514078 NPPES
Wisconsin MEDICAID 100061678
Wisconsin MEDICAID 1134514078

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