Roschetzky, Glenn Michael
Roschetzky, Glenn Michael is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Roschetzky, Glenn Michael can be contacted via phone (803) 434-8323.Contact Information
Primary practice address
3 Richland Medical Park Dr Ste 310
Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 4445 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4445 | South Carolina |
Profile Details
| NPI number | 1649909078 |
|---|---|
| LBN Legal business name | Roschetzky, Glenn Michael |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2022 |
| Last updated | Jul 22nd, 2022 - about 4 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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