Meredith, Connie
Meredith, Connie is an individual health care provider with primary practice located at 4004 Dupont Cir , Louisville KY 40207-4819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Meredith, Connie can be contacted via phone (502) 897-1604.Contact Information
Primary practice address
4004 Dupont Cir
Louisville KY 40207-4819
Phone: (502) 897-1604
Fax: (502) 897-0489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35148 | Kentucky |
Profile Details
| NPI number | 1972504819 |
|---|---|
| LBN Legal business name | Meredith, Connie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 15th, 2016 - about 9 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 | 1972504819 | NPPES |
| Kentucky | MEDICAID | 64050164 |
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