Glazik, Lisa M

Glazik, Lisa M is an individual health care provider with primary practice located at 1633 N Capitol Ave Suite 500, Indianapolis IN 46202-1261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Glazik, Lisa M can be contacted via phone (317) 962-5014.

Contact Information

Primary practice address
1633 N Capitol Ave Suite 500 Indianapolis IN 46202-1261
Phone: (317) 962-5014
Fax: (317) 962-2427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 72000103A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000205A Indiana

Profile Details

NPI number 1881675478
LBN Legal business name Glazik, Lisa M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Apr 4th, 2024 - about 2 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 1881675478 NPPES
Indiana MEDICAID 200522930

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