Klucka, Glenn

Klucka, Glenn is an individual health care provider with primary practice located at 740 High St Suite 4001, Williamsport PA 17701-3102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Klucka, Glenn can be contacted via phone (570) 321-2345.

Contact Information

Primary practice address
740 High St Suite 4001 Williamsport PA 17701-3102
Phone: (570) 321-2345
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS018778 Pennsylvania
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS018778 Pennsylvania

Profile Details

NPI number 1093058406
LBN Legal business name Klucka, Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Nov 6th, 2023 - 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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