Glatt, Kevin

Glatt, Kevin is an individual health care provider with primary practice located at 9000 W Sura Ln , Greenfield WI 53228-3477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Glatt, Kevin can be contacted via phone (414) 246-6800.

Contact Information

Primary practice address
9000 W Sura Ln Greenfield WI 53228-3477
Phone: (414) 246-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72751 Wisconsin

Profile Details

NPI number 1194179093
LBN Legal business name Glatt, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2016
Last updated Nov 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194179093 NPPES
Wisconsin MEDICAID 100101138

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