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
Phone: (502) 245-0002
Fax: (502) 742-0485
Website:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1649278938 | NPPES |
| Kentucky | MEDICAID | 64264310 |
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