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Contact Information

GLENN KLUCKA
740 HIGH ST
SUITE 4001
WILLIAMSPORT, PA17701-3102
 Phone: 570-321-2345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GLENN KLUCKA · (Male)

NPI # 1093058406
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2013
Last updated 11/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS018778
Hospital affiliation(s)
  • WILLIAMSPORT REGIONAL MEDICAL CENTER - (Acute Care)
    700 HIGH STREET
    WILLIAMSPORT, PA 17701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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