Miskovsky, Glenn E

Miskovsky, Glenn E is an individual health care provider with primary practice located at 31 Hall Dr Amherst Medical Center, Amherst MA 01002-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miskovsky, Glenn E can be contacted via phone (413) 256-8561.

Contact Information

Primary practice address
31 Hall Dr Amherst Medical Center Amherst MA 01002-2751
Fax: (413) 256-4421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 207711 Massachusetts

Profile Details

NPI number 1063412344
LBN Legal business name Miskovsky, Glenn E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1063412344 NPPES
Massachusetts MEDICAID 0115720
Massachusetts Other J23077

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