Carter, Bryan D

Carter, Bryan D is an individual health care provider with primary practice located at 200 East Chestnut Street , Louisville KY 40202. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Carter, Bryan D can be contacted via phone (502) 588-0800.

Contact Information

Primary practice address
200 East Chestnut Street Louisville KY 40202
Phone: (502) 588-0800
Fax: (502) 588-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 551 Kentucky

Profile Details

NPI number 1992899611
LBN Legal business name Carter, Bryan D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 5th, 2014 - about 12 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 1992899611 NPPES
Kentucky MEDICAID 89000657
Kentucky MEDICAID 201180180

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