Marzian, Jeffrey Kenneth

Marzian, Jeffrey Kenneth is an individual health care provider with primary practice located at 3403 Gatecreek Rd , Louisville KY 40272-2687. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Marzian, Jeffrey Kenneth can be contacted via phone (502) 381-7563.

Contact Information

Primary practice address
3403 Gatecreek Rd Louisville KY 40272-2687
Phone: (502) 381-7563
Fax: (513) 858-7827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00388 Kentucky

Profile Details

NPI number 1497772255
LBN Legal business name Marzian, Jeffrey Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 9th, 2020 - about 5 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 1497772255 NPPES
Kentucky MEDICAID 7100216340
Kentucky MEDICAID 201073770

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