Thad R. Schulten Psc

LBN: Thad R. Schulten Psc
Thad R. Schulten Psc is an health care organization with primary practice located at 4515 Churchman Ave. , Louisville KY 40215. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Thad R. Schulten Psc can be contacted via phone (502) 361-0134, or through Boone, Penny via phone (502) 361-0134.

Contact Information

Primary practice address
4515 Churchman Ave. Louisville KY 40215
Phone: (502) 361-0134
Fax: (502) 361-0137
Website:
Map and Directions
Authorized official contact:
Name: Boone, Penny
Phone: (502) 361-0134

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1235329400
LBN Legal business name Thad R. Schulten Psc
DBA Doing business as
Authorized official Boone, Penny
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jan 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235329400 NPPES
Kentucky MEDICAID 65941114

Popular Providers