Carballo Madrigal, Fabian
Carballo Madrigal, Fabian is an individual health care provider with primary practice located at 220 Abraham Flexner Way Ste 1200 , Louisville KY 40202-3826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Carballo Madrigal, Fabian can be contacted via phone (502) 588-2160.Contact Information
Primary practice address
220 Abraham Flexner Way Ste 1200
Louisville KY 40202-3826
Phone: (502) 588-2160
Fax: (502) 588-2161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | TP426 | Kentucky |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 45220 | Kentucky |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 45220 | Kentucky |
Profile Details
NPI number | 1891058335 |
---|---|
LBN Legal business name | Carballo Madrigal, Fabian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2012 |
Last updated | Mar 30th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891058335 | NPPES |
Indiana | MEDICAID | 201109750 | |
Indiana | MEDICAID | 7100226970 | |
Indiana | Other | 775158 | |
Indiana | Other | K052580 |
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