Rider, Braxton Harris
Rider, Braxton Harris is an individual health care provider with primary practice located at 1 Audubon Plaza Dr , Louisville KY 40217-1318. He recently has 8 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Rider, Braxton Harris can be contacted via phone (502) 636-7111.Contact Information
Primary practice address
1 Audubon Plaza Dr
Louisville KY 40217-1318
Phone: (502) 636-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 284367 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric | 211D00000X | 284367 | Kentucky |
Profile Details
| NPI number | 1962186726 |
|---|---|
| LBN Legal business name | Rider, Braxton Harris |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2023 |
| Last updated | Jun 12th, 2023 - about last year |
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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