Glotzbach, Raymond E

Glotzbach, Raymond E is an individual health care provider with primary practice located at 5959 Park Ave , Memphis TN 38119-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Glotzbach, Raymond E can be contacted via phone (901) 765-2131.

Contact Information

Primary practice address
5959 Park Ave Memphis TN 38119-5200
Fax: (901) 765-2064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10333 Tennessee

Profile Details

NPI number 1811961717
LBN Legal business name Glotzbach, Raymond E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 11th, 2013 - about 12 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 1811961717 NPPES
Arkansas MEDICAID 110551001
Arkansas MEDICAID 08177008
Arkansas MEDICAID 3043912

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