Louisville Surgical Associates, Psc

LBN: Louisville Surgical Associates, Psc
Louisville Surgical Associates, Psc is an health care organization with primary practice located at 4402 Churchman Ave Suite 202, Louisville KY 40215-1190. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Louisville Surgical Associates, Psc can be contacted via phone (502) 366-1090, or through Willett, Terri L via phone (502) 366-1090.

Contact Information

Primary practice address
4402 Churchman Ave Suite 202 Louisville KY 40215-1190
Fax: (502) 366-1564
Website:
Authorized official contact:
Name: Willett, Terri L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Kentucky

Profile Details

NPI number 1770575516
LBN Legal business name Louisville Surgical Associates, Psc
DBA Doing business as
Authorized official Willett, Terri L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 21st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770575516 NPPES
Kentucky Other 000000060149 ANTHEM
Kentucky MEDICAID 65920985 ANTHEM
Kentucky Other CN1016 ANTHEM
Kentucky Other 1049011 ANTHEM

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