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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1497772255 | NPPES |
Kentucky | MEDICAID | 7100216340 | |
Kentucky | MEDICAID | 201073770 |
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