Kotnik, Glenn A

Kotnik, Glenn A is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kotnik, Glenn A can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01039473A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01039473A Indiana

Profile Details

NPI number 1578671921
LBN Legal business name Kotnik, Glenn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Sep 4th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578671921 NPPES
Indiana Other 000000586104 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100360710 ANTHEM PROVIDER NUMBER
Indiana Other 000000085315 ANTHEM PROVIDER NUMBER

Popular Providers