National Provider Identifier Database

MARY B GLOECKNER, APN – NPI #1417282989
Ostomy Care


Contact Information

MARY B GLOECKNER, APN
2701 17TH ST
ROCK ISLAND, IL61201-5351
Phone: 309-779-5000
Fax: 309-779-3209
Website:
Specialty Taxonomy Code
* Ostomy Care 163WX1500X

* Indicates primary specialty

NPI Profile & details for MARY B GLOECKNER

NPI Number 1417282989
Credentials APN
Entity Individual
Enumeration date 10/16/2009
Last updated 03/14/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 041216510
Hospital affiliation n/a

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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