Rauchwarg, Glenn T

Rauchwarg, Glenn T is an individual health care provider with primary practice located at 5424 Discovery Park Blvd Suite 201, Williamsburg VA 23188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rauchwarg, Glenn T can be contacted via phone (757) 345-2071.

Contact Information

Primary practice address
5424 Discovery Park Blvd Suite 201 Williamsburg VA 23188
Phone: (757) 345-2071
Fax: (757) 903-4877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102050179 Virginia

Profile Details

NPI number 1851366959
LBN Legal business name Rauchwarg, Glenn T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 10th, 2020 - about 4 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 1851366959 NPPES
Virginia MEDICAID 010114349

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