Dynamic Medical And Rehab Pllc

LBN: Dynamic Medical And Rehab Pllc
Dynamic Medical And Rehab Pllc is an health care organization with primary practice located at 3747 Diann Marie Rd , Louisville KY 40241. The organization recently has 6 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Dynamic Medical And Rehab Pllc can be contacted via phone (502) 426-9200, or through Lisner, Blaine via phone (502) 426-9200.

Contact Information

Primary practice address
3747 Diann Marie Rd Louisville KY 40241
Phone: (502) 426-9200
Fax: (502) 426-9259
Website:
Map and Directions
Authorized official contact:
Name: Lisner, Blaine Doctor of Medicine (MD)
Phone: (502) 426-9200

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Kentucky
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1417256710
LBN Legal business name Dynamic Medical And Rehab Pllc
DBA Doing business as
Authorized official Lisner, Blaine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2011
Last updated Aug 5th, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1417256710 NPPES
Kentucky MEDICAID 7100205820
Kentucky Other 000000710768
Kentucky MEDICAID 7100206020
Kentucky MEDICAID 7100210310
Kentucky MEDICAID 7100234180
Kentucky MEDICAID 7100210390

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