Church, Stephen H
Church, Stephen H is an individual health care provider with primary practice located at 4171 Westport Rd , Louisville KY 40207-2739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Church, Stephen H can be contacted via phone (502) 896-8868.Contact Information
Primary practice address
4171 Westport Rd
Louisville KY 40207-2739
Phone: (502) 896-8868
Fax: (502) 895-6278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19565 | Kentucky |
Profile Details
| NPI number | 1801817564 |
|---|---|
| LBN Legal business name | Church, Stephen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Dec 19th, 2016 - about 10 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 | 1801817564 | NPPES |
| Kentucky | MEDICAID | 64195654 |
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