Enriquez, Marietta E
Enriquez, Marietta E is an individual health care provider with primary practice located at 3015 Wilson Ave , Louisville KY 40211-1969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Enriquez, Marietta E can be contacted via phone (502) 774-4401.Contact Information
Primary practice address
3015 Wilson Ave
Louisville KY 40211-1969
Phone: (502) 774-4401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22441 | Kentucky |
Profile Details
| NPI number | 1124099353 |
|---|---|
| LBN Legal business name | Enriquez, Marietta E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 19th, 2019 - about 6 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 | 1124099353 | NPPES |
| Kentucky | Other | K215580 | MEDICARE |
| Kentucky | MEDICAID | 64224413 | MEDICARE |
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