Theriot, Judith Ann

Theriot, Judith Ann is an individual health care provider with primary practice located at 411 E Chestnut St # Street1 , Louisville KY 40202-1713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Theriot, Judith Ann can be contacted via phone (502) 588-3440.

Contact Information

Primary practice address
411 E Chestnut St # Street1 Louisville KY 40202-1713
Phone: (502) 588-3440
Fax: (502) 588-3441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31361 Kentucky

Profile Details

NPI number 1811990476
LBN Legal business name Theriot, Judith Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Oct 27th, 2020 - about 4 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 1811990476 NPPES
Kentucky MEDICAID 6431361200

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