Schwenk, Glenn Rudolph

Schwenk, Glenn Rudolph is an individual health care provider with primary practice located at 12188 A North Meridian St Suite 375, Carmel IN 46032-4578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Schwenk, Glenn Rudolph can be contacted via phone (317) 926-1056.

Contact Information

Primary practice address
12188 A North Meridian St Suite 375 Carmel IN 46032-4578
Phone: (317) 926-1056
Fax: (317) 579-0476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01030262A Indiana

Profile Details

NPI number 1831199835
LBN Legal business name Schwenk, Glenn Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Dec 23rd, 2009 - about 17 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 1831199835 NPPES
Indiana MEDICAID 100378730
Indiana Other 000000231409

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