Cervera, Alfonso

Cervera, Alfonso is an individual health care provider with primary practice located at 315 E Broadway , Louisville KY 40202-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Cervera, Alfonso can be contacted via phone (502) 629-2500.

Contact Information

Primary practice address
315 E Broadway Louisville KY 40202-3700
Phone: (502) 629-2500
Fax: (502) 629-2055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35051 Kentucky

Profile Details

NPI number 1730152117
LBN Legal business name Cervera, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 12th, 2021 - about 4 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 1730152117 NPPES
Kentucky MEDICAID 64063035
Kentucky Other P00023370
Kentucky Other 50001586
Kentucky MEDICAID 200441020
Kentucky Other 0000000259565

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