George, Anthony

George, Anthony is an individual health care provider with primary practice located at 3900 Kresge Way Suite 31, Louisville KY 40207-4660. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. George, Anthony can be contacted via phone (502) 894-0664.

Contact Information

Primary practice address
3900 Kresge Way Suite 31 Louisville KY 40207-4660
Phone: (502) 894-0664
Fax: (502) 238-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35528 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 35528 Kentucky

Profile Details

NPI number 1225032014
LBN Legal business name George, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 2nd, 2020 - about 4 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 1225032014 NPPES
Kentucky MEDICAID 64007529
Kentucky MEDICAID 200293580

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