Carli, Glenn David
Carli, Glenn David is an individual health care provider with primary practice located at 3237 Riverside Dr , Green Bay WI 54301-1643. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carli, Glenn David can be contacted via phone (920) 336-2020.Contact Information
Primary practice address
3237 Riverside Dr
Green Bay WI 54301-1643
Phone: (920) 336-2020
Fax: (920) 336-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2070 | Wisconsin |
Profile Details
| NPI number | 1619914181 |
|---|---|
| LBN Legal business name | Carli, Glenn David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Apr 24th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619914181 | NPPES |
| Other | P00270020 | RAILROAD MEDICARE |
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