Jacks, Laura K

Jacks, Laura K is an individual health care provider with primary practice located at 2933 Breckenridge Ln Ste 103 , Louisville KY 40220-1408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Jacks, Laura K can be contacted via phone (502) 394-5678.

Contact Information

Primary practice address
2933 Breckenridge Ln Ste 103 Louisville KY 40220-1408
Phone: (502) 394-5678
Fax: (502) 394-5600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 37525 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 37525 Kentucky

Profile Details

NPI number 1922063312
LBN Legal business name Jacks, Laura K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 23rd, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922063312 NPPES
Kentucky MEDICAID 64052772
Kentucky MEDICAID 200397730

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