Brohm, Charles M

Brohm, Charles M is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brohm, Charles M can be contacted via phone (502) 259-5391.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 259-5391
Fax: (502) 259-9733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14421 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01039758A Indiana

Profile Details

NPI number 1568462331
LBN Legal business name Brohm, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1568462331 NPPES
Kentucky MEDICAID 04144215

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