Mieszkalski, Glenn B.
Mieszkalski, Glenn B. is an individual health care provider with primary practice located at 4300 Londonderry Rd Lowr Level , Harrisburg PA 17109-5317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Mieszkalski, Glenn B. can be contacted via phone (717) 724-6740.Contact Information
Primary practice address
4300 Londonderry Rd Lowr Level
Harrisburg PA 17109-5317
Phone: (717) 724-6740
Fax: (717) 724-6741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD049823L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD049823L | Pennsylvania |
Profile Details
| NPI number | 1043325657 |
|---|---|
| LBN Legal business name | Mieszkalski, Glenn B. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043325657 | NPPES |
| Pennsylvania | MEDICAID | 101107828 |
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