Glenn Klucka
Neuromusculoskeletal Medicine (NMM)
740 High St Suite 4001
Williamsport
, Pennsylvania 17701-3102
Glenn Klucka
Neuromusculoskeletal Medicine (NMM)
740 High St Suite 4001
Williamsport
, Pennsylvania 17701-3102
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Glenn Klucka
- 1201 Grampian Blvd Suite 4001
- Williamsport, PA
- Zip : 17701-1900
- Phone :
Second Address
- Glenn Klucka
- 740 High St Suite 4001
- Williamsport, PA
- Zip : 17701-3102
- Phone : (570) 321-2345
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS018778 | PA |
National Provider Identifier
| NPI | 1093058406 |
|---|---|
| Provider Name | Glenn Klucka |
| First Address | Williamsport, PA 17701-1900 |
| Second Address | Williamsport, PA 17701-3102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2013 |
| Last Update Date | 25/03/2021 |
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.