Dr. Chad Alan Glazer
Otolaryngology/Facial Plastic Surgery
8865 W 400 N Suite 120
Michigan City
, Indiana 46360-9222
Dr. Chad Alan Glazer
Otolaryngology/Facial Plastic Surgery
8865 W 400 N Suite 120
Michigan City
, Indiana 46360-9222
(317) 528-4837
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Chad Alan Glazer
- 1040 Sierra Dr Suite 400
- Greenwood, IN
- Zip : 46143-7240
- Phone : (317) 528-4837
Second Address
- Dr. Chad Alan Glazer
- 8865 W 400 N Suite 120
- Michigan City, IN
- Zip : 46360-9222
- Fax : (219) 879-5498
- Phone : (219) 878-5031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 01071618A | IN |
National Provider Identifier
| NPI | 1609915503 |
|---|---|
| Provider Name | Dr. Chad Alan Glazer |
| First Address | Greenwood, IN 46143-7240 |
| Second Address | Michigan City, IN 46360-9222 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 20/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201124820 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.