Hertweck, Susan P
Hertweck, Susan P is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 303 , Louisville KY 40207-4723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Hertweck, Susan P can be contacted via phone (502) 559-1750.Contact Information
Primary practice address
3991 Dutchmans Ln Ste 303
Louisville KY 40207-4723
Phone: (502) 559-1750
Fax: (502) 666-7707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25239 | Kentucky |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 25239 | Kentucky |
Profile Details
| NPI number | 1134147325 |
|---|---|
| LBN Legal business name | Hertweck, Susan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134147325 | NPPES |
| Indiana | MEDICAID | 100332440 | |
| Indiana | Other | 1049243 | |
| Indiana | Other | 000000047600 | |
| Indiana | MEDICAID | 64252398 | |
| Indiana | Other | 1049273 | |
| Indiana | Other | K027510 | |
| Indiana | Other | 1049241 | |
| Indiana | Other | 50034184 | |
| Indiana | Other | 000000045416 |
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