Wetzel, Glenn T
Wetzel, Glenn T is an individual health care provider with primary practice located at 848 Adams Ave , Memphis TN 38103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Wetzel, Glenn T can be contacted via phone (901) 287-7337.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 39312 | Tennessee |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 39312 | Tennessee |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | D95664 | Maryland |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | D95664 | Maryland |
Profile Details
NPI number | 1023074010 |
---|---|
LBN Legal business name | Wetzel, Glenn T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Mar 7th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023074010 | NPPES |
Tennessee | MEDICAID | 3325777 |
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