Jicha, Gregory Alexander
Jicha, Gregory Alexander is an individual health care provider with primary practice located at 740 S Limestone J 401, Lexington KY 40536-0284. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Jicha, Gregory Alexander can be contacted via phone (859) 323-5661.Contact Information
Primary practice address
740 S Limestone J 401
Lexington KY 40536-0284
Phone: (859) 323-5661
Fax: (859) 257-4999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 39627 | Kentucky |
Profile Details
| NPI number | 1619073202 |
|---|---|
| LBN Legal business name | Jicha, Gregory Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619073202 | NPPES |
| Kentucky | MEDICAID | 64105356 |
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