Fellows, Richard
Fellows, Richard is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Fellows, Richard can be contacted via phone (502) 629-7661.Contact Information
Primary practice address
231 E Chestnut St
Louisville KY 40202-1821
Phone: (502) 629-7661
Fax: (502) 629-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 18377 | Kentucky |
Profile Details
| NPI number | 1922182013 |
|---|---|
| LBN Legal business name | Fellows, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jan 5th, 2009 - about 16 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 | 1922182013 | NPPES |
| Kentucky | Other | 000000544367 | ANTHEM - KCR |
| Kentucky | Other | 3505502 | ANTHEM - KCR |
| Kentucky | Other | 50018757 | ANTHEM - KCR |
| Kentucky | Other | 0000230291 | ANTHEM - KCR |
| Kentucky | MEDICAID | 100357970 | ANTHEM - KCR |
| Kentucky | MEDICAID | 64183775 | ANTHEM - KCR |
| Kentucky | Other | 00533031 | ANTHEM - KCR |
| Kentucky | Other | 92158 | ANTHEM - KCR |
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