Mcglothlin, Wylie G.

Mcglothlin, Wylie G. is an individual health care provider with primary practice located at 2200 Forest Ridge Pkwy Suite 310, New Castle IN 47362-2943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcglothlin, Wylie G. can be contacted via phone (765) 599-3400.

Contact Information

Primary practice address
2200 Forest Ridge Pkwy Suite 310 New Castle IN 47362-2943
Phone: (765) 599-3400
Fax: (765) 599-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01026722 Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01026722 Indiana

Profile Details

NPI number 1659453520
LBN Legal business name Mcglothlin, Wylie G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 25th, 2011 - about 13 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 1659453520 NPPES
Indiana MEDICAID 2000563106
Indiana MEDICAID 200056310

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