Susan B Tate Md Pa

LBN: Susan B Tate Md Pa
Susan B Tate Md Pa is an health care organization with primary practice located at 2934 Breckenridge Ln Suite 2, Louisville KY 40220-3903. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as the primary health care specialty. Susan B Tate Md Pa can be contacted via phone (502) 454-7871, or through Tate, Susan B via phone (502) 454-7871.

Contact Information

Primary practice address
2934 Breckenridge Ln Suite 2 Louisville KY 40220-3903
Phone: (502) 454-7871
Fax: (502) 454-7872
Website:
Map and Directions
Authorized official contact:
Name: Tate, Susan B Doctor of Medicine (MD)
Phone: (502) 454-7871

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 39021 Kentucky

Profile Details

NPI number 1205252426
LBN Legal business name Susan B Tate Md Pa
DBA Doing business as
Authorized official Tate, Susan B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2014
Last updated Mar 12th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205252426 NPPES
Kentucky MEDICAID 64084148

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