Stewart, Robert Calvert

Stewart, Robert Calvert is an individual health care provider with primary practice located at 4402 Churchman Ave Suite 202, Louisville KY 40215-1190. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stewart, Robert Calvert can be contacted via phone (502) 366-1090.

Contact Information

Primary practice address
4402 Churchman Ave Suite 202 Louisville KY 40215-1190
Phone: (502) 366-1090
Fax: (502) 366-1564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30613 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 30613 Kentucky

Profile Details

NPI number 1801892856
LBN Legal business name Stewart, Robert Calvert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 23rd, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801892856 NPPES
Kentucky Other F80628 UNIQUE PROVIDER ID#
Kentucky MEDICAID 64306137 UNIQUE PROVIDER ID#
Kentucky Other 01044681A UNIQUE PROVIDER ID#
Kentucky Other P01026556 UNIQUE PROVIDER ID#
Kentucky MEDICAID 100375540A UNIQUE PROVIDER ID#
Kentucky Other 30613 UNIQUE PROVIDER ID#

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