Eckerle, Bryan Jessop

Eckerle, Bryan Jessop is an individual health care provider with primary practice located at 3 Audubon Plaza Dr Ll2, Louisville KY 40217-1300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Eckerle, Bryan Jessop can be contacted via phone (502) 636-4940.

Contact Information

Primary practice address
3 Audubon Plaza Dr Ll2 Louisville KY 40217-1300
Phone: (502) 636-4940
Fax: (502) 636-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 46403 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 46403 Kentucky

Profile Details

NPI number 1023252558
LBN Legal business name Eckerle, Bryan Jessop
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Oct 11th, 2019 - about 5 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 1023252558 NPPES
Kentucky MEDICAID 74003114

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