Bluegrass Podiatric Management Llc

LBN: Bluegrass Podiatric Management Llc
Bluegrass Podiatric Management Llc is an health care organization with primary practice located at 178 N Ewing Ave , Louisville KY 40206-2459. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Bluegrass Podiatric Management Llc can be contacted via phone (502) 554-3792, or through Lasorella, Angie via phone (513) 829-9333.

Contact Information

Primary practice address
178 N Ewing Ave Louisville KY 40206-2459
Phone: (502) 554-3792
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lasorella, Angie
Phone: (513) 829-9333

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00379 Kentucky

Profile Details

NPI number 1720477672
LBN Legal business name Bluegrass Podiatric Management Llc
DBA Doing business as
Authorized official Lasorella, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2015
Last updated Feb 9th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720477672 NPPES
Kentucky MEDICAID 7100335760

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