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:
Health care specialties
Specialty | Code | License # | 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 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 | 1730152117 | NPPES |
Kentucky | MEDICAID | 64063035 | |
Kentucky | Other | P00023370 | |
Kentucky | Other | 50001586 | |
Kentucky | MEDICAID | 200441020 | |
Kentucky | Other | 0000000259565 |
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