Feldmann, Theodore Bruce

Feldmann, Theodore Bruce is an individual health care provider with primary practice located at 401 E Chestnut St Suite 610, Louisville KY 40202-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Feldmann, Theodore Bruce can be contacted via phone (502) 588-4450.

Contact Information

Primary practice address
401 E Chestnut St Suite 610 Louisville KY 40202-5700
Phone: (502) 588-4450
Fax: (502) 588-9539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 23752 Kentucky

Profile Details

NPI number 1912979154
LBN Legal business name Feldmann, Theodore Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 23rd, 2016 - about 8 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 1912979154 NPPES
Indiana MEDICAID 200080890
Indiana MEDICAID 64237522
Indiana Other 92833

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