Gloeckner, Earl G

Gloeckner, Earl G is an individual health care provider with primary practice located at 1420 7Th St , Moline IL 61265-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gloeckner, Earl G can be contacted via phone (309) 762-2333.

Contact Information

Primary practice address
1420 7Th St Moline IL 61265-2916
Fax: (309) 762-8001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1154390581
LBN Legal business name Gloeckner, Earl G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 6th, 2007 - about 19 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 1154390581 NPPES
Illinois Other 08100437 BC/BS

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