Menikoff, Deana M.

Menikoff, Deana M. is an individual health care provider with primary practice located at 220 Abraham Flexner Way Suite 500, Louisville KY 40202-3826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Menikoff, Deana M. can be contacted via phone (502) 584-3376.

Contact Information

Primary practice address
220 Abraham Flexner Way Suite 500 Louisville KY 40202-3826
Phone: (502) 584-3376
Fax: (502) 584-1385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA551 Kentucky

Profile Details

NPI number 1790759314
LBN Legal business name Menikoff, Deana M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1790759314 NPPES
Kentucky Other 1130973 PASSPORT
Kentucky MEDICAID 9500112900 PASSPORT
Kentucky Other 2437660000 PASSPORT
Kentucky Other 000000190242 PASSPORT

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