Glissmeyer, Eric Wallace
Glissmeyer, Eric Wallace is an sole proprietor health care provider with primary practice located at 295 Chipeta Way , Salt Lake City UT 84108-1287. He recently has 3 registered licenses in different health care specialties including Hospitals / Children, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Glissmeyer, Eric Wallace can be contacted via phone (801) 587-7450.Contact Information
Primary practice address
295 Chipeta Way
Salt Lake City UT 84108-1287
Phone: (801) 587-7450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Children | 282NC2000X | Utah | |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 7891781-1205 | Utah |
Profile Details
| NPI number | 1245490424 |
|---|---|
| LBN Legal business name | Glissmeyer, Eric Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Dec 10th, 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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