Zausmer, Glenn D

Zausmer, Glenn D is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 301, Twin Falls ID 83301-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Zausmer, Glenn D can be contacted via phone (208) 814-8700.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 301 Twin Falls ID 83301-5814
Phone: (208) 814-8700
Fax: (208) 933-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 5101012942 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X DO154497 Oregon

Profile Details

NPI number 1891767745
LBN Legal business name Zausmer, Glenn D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2006
Last updated Dec 9th, 2014 - about 10 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 1891767745 NPPES
Idaho MEDICAID 1891767745

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