Glazewski, Robert Walter

Glazewski, Robert Walter is an individual health care provider with primary practice located at 1909 214Th St Se Ste 300 , Bothell WA 98021-4418. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Glazewski, Robert Walter can be contacted via phone (425) 412-7200.

Contact Information

Primary practice address
1909 214Th St Se Ste 300 Bothell WA 98021-4418
Phone: (425) 412-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003728 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1039568 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA10003728 Washington

Profile Details

NPI number 1649218546
LBN Legal business name Glazewski, Robert Walter
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated May 18th, 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 1649218546 NPPES
Washington Other 8413GL BSWA
Washington Other 0227451 BSWA
Washington MEDICAID 8318719 BSWA
Washington Other 7910GL BSWA
Washington Other 0194427 BSWA
Washington MEDICAID 7073596 BSWA

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