Statler, Victoria Anne
Statler, Victoria Anne is an individual health care provider with primary practice located at 411 E Chestnut St # 4B5A , Louisville KY 40202-1713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Statler, Victoria Anne can be contacted via phone (502) 588-2348.Contact Information
Primary practice address
411 E Chestnut St # 4B5A
Louisville KY 40202-1713
Phone: (502) 588-2348
Fax: (502) 588-2334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43345 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 43345 | Kentucky |
Profile Details
| NPI number | 1770604191 |
|---|---|
| LBN Legal business name | Statler, Victoria Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Apr 24th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770604191 | NPPES |
| Indiana | MEDICAID | 200986900 | |
| Indiana | MEDICAID | 7100117940 |
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