Homrighausen, James Keith
Homrighausen, James Keith is an sole proprietor health care provider with primary practice located at 5120 Charlestown Rd Ste 1, New Albany IN 47150-9497. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Homrighausen, James Keith can be contacted via phone (812) 944-4000.Contact Information
Primary practice address
5120 Charlestown Rd Ste 1
New Albany IN 47150-9497
Phone: (812) 944-4000
Fax: (812) 944-4505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12010004 | Indiana |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7213 | Kentucky |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 12010004 | Indiana |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 7213 | Kentucky |
Profile Details
NPI number | 1811970254 |
---|---|
LBN Legal business name | Homrighausen, James Keith |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 21st, 2005 |
Last updated | Nov 21st, 2014 - about 10 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 | 1811970254 | NPPES |
Kentucky | MEDICAID | 1129756 | |
Kentucky | MEDICAID | 60072139 | |
Kentucky | MEDICAID | 64072135 | |
Kentucky | MEDICAID | 200161030 | |
Kentucky | MEDICAID | 0005804 |
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