Gardner, Glen Edward

Gardner, Glen Edward is an sole proprietor health care provider with primary practice located at 115 N 6Th St , Wausau WI 54403-5519. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gardner, Glen Edward can be contacted via phone (608) 322-9573.

Contact Information

Primary practice address
115 N 6Th St Wausau WI 54403-5519
Phone: (608) 322-9573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1912598574
LBN Legal business name Gardner, Glen Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2021
Last updated Jan 27th, 2021 - about 5 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.

Request for update

Popular Providers