Misko, Glen J

Misko, Glen J is an individual health care provider with primary practice located at 1947 Founders St , Wichita KS 67206-3548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Misko, Glen J can be contacted via phone (316) 689-9227.

Contact Information

Primary practice address
1947 Founders St Wichita KS 67206-3548
Phone: (316) 689-9227
Fax: (316) 613-4940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 27721 Kansas

Profile Details

NPI number 1184669947
LBN Legal business name Misko, Glen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 13th, 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 1184669947 NPPES
Kansas Other 11055 PHS
Kansas Other 100188 PHS
Kansas Other 053723 PHS
Kansas Other 12149472 PHS
Kansas Other 16961 PHS

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