Glisczinski, Robert E

Glisczinski, Robert E is an individual health care provider with primary practice located at 2700 W 9Th Ave , Oshkosh WI 54904-7247. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Glisczinski, Robert E can be contacted via phone (920) 223-5580.

Contact Information

Primary practice address
2700 W 9Th Ave Oshkosh WI 54904-7247
Fax: (920) 223-5592
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2173-033 Wisconsin

Profile Details

NPI number 1376586743
LBN Legal business name Glisczinski, Robert E
Credentials N.P.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 18th, 2013 - about 11 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 1376586743 NPPES
Wisconsin MEDICAID 41262200

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