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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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