Fallat, Mary E
Fallat, Mary E is an individual health care provider with primary practice located at 234 E Gray St Ste 766, Louisville KY 40202-1901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Fallat, Mary E can be contacted via phone (502) 588-0390.Contact Information
Primary practice address
234 E Gray St Ste 766
Louisville KY 40202-1901
Phone: (502) 588-0390
Fax: (502) 584-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 21050 | Kentucky |
Profile Details
| NPI number | 1124025127 |
|---|---|
| LBN Legal business name | Fallat, Mary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Oct 14th, 2020 - 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 | 1124025127 | NPPES |
| Kentucky | MEDICAID | 64210503 | |
| Kentucky | MEDICAID | 100330770 |
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