Shurtz, Glen

Shurtz, Glen is an individual health care provider with primary practice located at 500 S Main St , Wichita KS 67202-3722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shurtz, Glen can be contacted via phone (316) 262-1103.

Contact Information

Primary practice address
500 S Main St Wichita KS 67202-3722
Phone: (316) 262-1103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 04-19424 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-19424 Kansas

Profile Details

NPI number 1558339317
LBN Legal business name Shurtz, Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated May 7th, 2012 - about 12 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 1558339317 NPPES
Kansas Other 103239 BCBS
Kansas Other 515406770 BCBS
Kansas MEDICAID 100127010C BCBS
Kansas Other P00063431 BCBS

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