Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 26140 | NE |
NPI | 1033392600 |
---|---|
Provider Name | Dr. Matthew John Glathar |
First Address | Lincoln, NE 68510-2468 |
Second Address | Lincoln, NE 68510-2468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2007 |
Last Update Date | 20/12/2013 |