Imburgia, Michael J

Imburgia, Michael J is an individual health care provider with primary practice located at 310 E Broadway Ste 100 , Louisville KY 40202-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Imburgia, Michael J can be contacted via phone (502) 245-0002.

Contact Information

Primary practice address
310 E Broadway Ste 100 Louisville KY 40202-1745
Fax: (502) 742-0485
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 26431 Kentucky

Profile Details

NPI number 1649278938
LBN Legal business name Imburgia, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Mar 7th, 2023 - about last year

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 1649278938 NPPES
Kentucky MEDICAID 64264310

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