Gleason, Carolyn Banks

Gleason, Carolyn Banks is an individual health care provider with primary practice located at 127 Fairfax Ave , Louisville KY 40207-4905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gleason, Carolyn Banks can be contacted via phone (502) 890-3899.

Contact Information

Primary practice address
127 Fairfax Ave Louisville KY 40207-4905
Fax: (502) 384-8883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 25213 Kentucky

Profile Details

NPI number 1316013790
LBN Legal business name Gleason, Carolyn Banks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Apr 23rd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316013790 NPPES
Kentucky Other 000001065181 ANTHEM

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