Trogdon, Sidney Donald

Trogdon, Sidney Donald is an individual health care provider with primary practice located at 20 Medical Village Dr , Edgewood KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Trogdon, Sidney Donald can be contacted via phone (859) 344-1600.

Contact Information

Primary practice address
20 Medical Village Dr Edgewood KY 41017
Fax: (859) 344-0091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33770 Kentucky

Profile Details

NPI number 1154326965
LBN Legal business name Trogdon, Sidney Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 14th, 2018 - about 6 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 1154326965 NPPES
Kentucky MEDICAID 64337702
Kentucky MEDICAID 7100056850
Kentucky Other 020054356
Kentucky MEDICAID 2431836
Kentucky MEDICAID 2469136
Kentucky Other P00670399

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