Johnsrude, Christopher Lars
Johnsrude, Christopher Lars is an individual health care provider with primary practice located at 411 E Chestnut St # 5A , Louisville KY 40202-1713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Johnsrude, Christopher Lars can be contacted via phone (502) 588-7450.Contact Information
Primary practice address
411 E Chestnut St # 5A
Louisville KY 40202-1713
Phone: (502) 588-7450
Fax: (502) 588-7728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 37041 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 37041 | Kentucky |
Profile Details
| NPI number | 1336144401 |
|---|---|
| LBN Legal business name | Johnsrude, Christopher Lars |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 10th, 2022 - 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 | 1336144401 | NPPES |
| Indiana | MEDICAID | 200114610A | |
| Indiana | MEDICAID | 64047947 |
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