Bederman, Jane

Bederman, Jane is an individual health care provider with primary practice located at 615 S Preston St , Louisville KY 40202-1715. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Nephrology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bederman, Jane can be contacted via phone (502) 852-5757.

Contact Information

Primary practice address
615 S Preston St Louisville KY 40202-1715
Phone: (502) 852-5757
Fax: (502) 852-7643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3003138 Kentucky
Nursing Service Providers / Nephrology 163WN0300X 3003138 Kentucky

Profile Details

NPI number 1912982059
LBN Legal business name Bederman, Jane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 3rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912982059 NPPES
Kentucky MEDICAID 78006848
Kentucky Other K043940

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