Coventry, Susan C

Coventry, Susan C is an individual health care provider with primary practice located at 231 E Chestnut St Pathology Dept, Louisville KY 40202-1821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Coventry, Susan C can be contacted via phone (502) 629-7900.

Contact Information

Primary practice address
231 E Chestnut St Pathology Dept Louisville KY 40202-1821
Phone: (502) 629-7900
Fax: (502) 629-7906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 34658 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 34658 Kentucky

Profile Details

NPI number 1881629558
LBN Legal business name Coventry, Susan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881629558 NPPES
Kentucky Other 000000049668 ANTHEM BLUE CROSS BS
Kentucky Other P00211997 ANTHEM BLUE CROSS BS
Kentucky Other 1087837 ANTHEM BLUE CROSS BS
Kentucky Other 1337243 ANTHEM BLUE CROSS BS
Kentucky MEDICAID 200206670A ANTHEM BLUE CROSS BS
Kentucky MEDICAID 64346588 ANTHEM BLUE CROSS BS

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