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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023252558 | NPPES |
Kentucky | MEDICAID | 74003114 |
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