Bunch, Susan Carol

Bunch, Susan Carol is an individual health care provider with primary practice located at 4130 Dutchmans Ln Ste 400, Louisville KY 40207-4711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bunch, Susan Carol can be contacted via phone (502) 897-0697.

Contact Information

Primary practice address
4130 Dutchmans Ln Ste 400 Louisville KY 40207-4711
Fax: (502) 897-0658
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25076 Kentucky

Profile Details

NPI number 1801891965
LBN Legal business name Bunch, Susan Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 16th, 2022 - about 2 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 1801891965 NPPES
Kentucky Other 50036610 PASSPORT - WS
Kentucky Other 610673930 PASSPORT - WS
Kentucky Other 160032456 PASSPORT - WS
Kentucky Other 610673930I PASSPORT - WS
Kentucky Other K031770 PASSPORT - WS
Kentucky Other 0700298 PASSPORT - WS
Kentucky Other 3479000000044476 PASSPORT - WS
Kentucky MEDICAID 64250764 PASSPORT - WS

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