Tan, Glenn Anthony

Tan, Glenn Anthony is an individual health care provider with primary practice located at 1905 E. Huebbe Parkway Beloit Health System Inc, Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tan, Glenn Anthony can be contacted via phone (608) 364-2220.

Contact Information

Primary practice address
1905 E. Huebbe Parkway Beloit Health System Inc Beloit WI 53511-1842
Phone: (608) 364-2220
Fax: (608) 364-2489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 50634 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-119964 Illinois

Profile Details

NPI number 1689692410
LBN Legal business name Tan, Glenn Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 20th, 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 1689692410 NPPES
Wisconsin MEDICAID 1689692410

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