Cleanslate Medical Group Of Kentucky Pllc

LBN: Cleanslate Medical Group Of Kentucky Pllc
Cleanslate Medical Group Of Kentucky Pllc is an health care organization with primary practice located at 210 E Gray St Ste 803 , Louisville KY 40202-3904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Cleanslate Medical Group Of Kentucky Pllc can be contacted via phone (502) 238-9462, or through Smolarek, Matthew Philip via phone (412) 999-5188.

Contact Information

Primary practice address
210 E Gray St Ste 803 Louisville KY 40202-3904
Phone: (502) 238-9462
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smolarek, Matthew Philip
Phone: (412) 999-5188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1538600630
LBN Legal business name Cleanslate Medical Group Of Kentucky Pllc
DBA Doing business as
Authorized official Smolarek, Matthew Philip
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2017
Last updated Jul 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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