Glaenzer, Bryan Jeremy

Glaenzer, Bryan Jeremy is an individual health care provider with primary practice located at 530 S Jackson St # C07 , Louisville KY 40202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Glaenzer, Bryan Jeremy can be contacted via phone (502) 852-5875.

Contact Information

Primary practice address
530 S Jackson St # C07 Louisville KY 40202
Phone: (502) 852-5875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 125064539 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X TP484 Kentucky
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 52672 Kentucky

Profile Details

NPI number 1568805406
LBN Legal business name Glaenzer, Bryan Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Jun 27th, 2019 - about 7 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 1568805406 NPPES
Kentucky MEDICAID 7100601240
Kentucky Other K303440

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