Glazer, Chad Alan

Glazer, Chad Alan is an individual health care provider with primary practice located at 8865 W 400 N Ste 120 , Michigan City IN 46360-9011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Glazer, Chad Alan can be contacted via phone (219) 878-5031.

Contact Information

Primary practice address
8865 W 400 N Ste 120 Michigan City IN 46360-9011
Phone: (219) 878-5031
Fax: (219) 879-5498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 01071618A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01071618A Indiana

Profile Details

NPI number 1609915503
LBN Legal business name Glazer, Chad Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 31st, 2023 - about 3 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 1609915503 NPPES
Indiana MEDICAID 201124820

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