Interventional Rehabilitation Of Kentucky, P.S.C
LBN: Interventional Rehabilitation Of Kentucky, P.S.C
Interventional Rehabilitation Of Kentucky, P.S.C is an health care organization with primary practice located at 315 E Broadway Suite 250, Louisville KY 40202-3700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Interventional Rehabilitation Of Kentucky, P.S.C can be contacted via phone (502) 589-4765, or through Collis, Ricky Stanley via phone (502) 589-4765.
Contact Information
Primary practice address
315 E Broadway Suite 250
Louisville KY 40202-3700
Phone: (502) 589-4765
Fax: (502) 589-4799
Website:
Authorized official contact:
Name: Collis, Ricky Stanley Doctor of Medicine (MD)
Phone: (502) 589-4765
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X |
Profile Details
NPI number | 1275549842 |
---|---|
LBN Legal business name | Interventional Rehabilitation Of Kentucky, P.S.C |
DBA Doing business as | |
Authorized official | Collis, Ricky Stanley Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 1st, 2006 |
Last updated | Jul 28th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275549842 | NPPES |
Indiana | MEDICAID | 200279470A | |
Indiana | MEDICAID | 1103005 | |
Indiana | Other | 2322033 | |
Indiana | MEDICAID | 65943870 | |
Indiana | Other | 372286700 |
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