A Bert Sparrow Psc

LBN: A Bert Sparrow Psc
A Bert Sparrow Psc is an health care organization with primary practice located at 4402 Churchman Ave Ste 211, Louisville KY 40215-3100. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. A Bert Sparrow Psc can be contacted via phone (502) 361-6075, or through Sparrow, Athel Bert via phone (502) 361-6075.

Contact Information

Primary practice address
4402 Churchman Ave Ste 211 Louisville KY 40215-3100
Phone: (502) 361-6075
Fax: (502) 361-6071
Website:
Map and Directions
Authorized official contact:
Name: Sparrow, Athel Bert Doctor of Medicine (MD)
Phone: (502) 361-6075

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13980 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 13980 Kentucky

Profile Details

NPI number 1942230578
LBN Legal business name A Bert Sparrow Psc
DBA Doing business as
Authorized official Sparrow, Athel Bert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942230578 NPPES
Kentucky Other 022087143 RAILROAD MEDICARE
Kentucky Other 1048991 RAILROAD MEDICARE
Kentucky Other 000000045552 RAILROAD MEDICARE
Kentucky MEDICAID 65934580 RAILROAD MEDICARE
Kentucky MEDICAID 100003430 A RAILROAD MEDICARE
Kentucky Other 2432327000 RAILROAD MEDICARE

Popular Providers