Robertson, George W
Robertson, George W is an individual health care provider with primary practice located at 4130 Dutchmans Ln Ste 400, Louisville KY 40207-4711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Robertson, George W can be contacted via phone (502) 897-0697.Contact Information
Primary practice address
4130 Dutchmans Ln Ste 400
Louisville KY 40207-4711
Phone: (502) 897-0697
Fax: (502) 897-0658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20738 | Kentucky |
Profile Details
| NPI number | 1194720342 |
|---|---|
| LBN Legal business name | Robertson, George W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1194720342 | NPPES |
| Kentucky | Other | 0700074 | UNITED HEALTHCARE |
| Kentucky | Other | 160032460 | UNITED HEALTHCARE |
| Kentucky | Other | 0406000000044471 | UNITED HEALTHCARE |
| Kentucky | Other | 610673930G | UNITED HEALTHCARE |
| Kentucky | Other | EMPLOYER'S ID | UNITED HEALTHCARE |
| Kentucky | MEDICAID | 6420738400 | UNITED HEALTHCARE |
| Kentucky | Other | 1048738 | UNITED HEALTHCARE |
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