Luz-Tobias, Angelita

Luz-Tobias, Angelita is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Luz-Tobias, Angelita can be contacted via phone (502) 852-8266.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Phone: (502) 852-8266
Fax: (502) 852-3726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22435 Kentucky

Profile Details

NPI number 1801864376
LBN Legal business name Luz-Tobias, Angelita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 17th, 2012 - about 13 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 1801864376 NPPES
Kentucky MEDICAID 64224355
Kentucky MEDICAID 200280350

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