Wachter, Bryan Glenn

Wachter, Bryan Glenn is an sole proprietor health care provider with primary practice located at 4315 Diplomacy Dr Attn: Sherry Reedy, Anchorage AK 99508-5926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wachter, Bryan Glenn can be contacted via phone (907) 729-3971.

Contact Information

Primary practice address
4315 Diplomacy Dr Attn: Sherry Reedy Anchorage AK 99508-5926
Fax: (907) 729-1542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4918 Alaska

Profile Details

NPI number 1801827027
LBN Legal business name Wachter, Bryan Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
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 1801827027 NPPES
Alaska MEDICAID MD0829

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