Premier Ent And Allergy, Pllc
LBN: Premier Ent And Allergy, Pllc
Premier Ent And Allergy, Pllc is an health care organization with primary practice located at 2429 Bush Ridge Dr Ste 103 , Louisville KY 40245-5914. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty.
Premier Ent And Allergy, Pllc can be contacted via phone (502) 893-3683, or through Coppola, Carl David via phone (502) 893-3683.
Contact Information
Primary practice address
2429 Bush Ridge Dr Ste 103
Louisville KY 40245-5914
Phone: (502) 893-3683
Fax:
Website:
Authorized official contact:
Name: Coppola, Carl David Doctor of Medicine (MD)
Phone: (502) 893-3683
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 28995 | Kentucky |
Profile Details
| NPI number | 1083731277 |
|---|---|
| LBN Legal business name | Premier Ent And Allergy, Pllc |
| DBA Doing business as | |
| Authorized official | Coppola, Carl David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jan 10th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083731277 | NPPES |
| Kentucky | Other | 000000045669 | BCBS |
| Kentucky | Other | CB0478 | BCBS |
| Kentucky | Other | 1052620 | BCBS |
| Kentucky | MEDICAID | 64289952 | BCBS |
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