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:
Health care specialties
Specialty | Code | License # | 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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