Zax, Robert Henry

Zax, Robert Henry is an individual health care provider with primary practice located at 2307 River Rd Ste 101 , Louisville KY 40206-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Zax, Robert Henry can be contacted via phone (502) 583-6647.

Contact Information

Primary practice address
2307 River Rd Ste 101 Louisville KY 40206-5000
Fax: (502) 585-4824
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 25359 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25359 Kentucky

Profile Details

NPI number 1689659781
LBN Legal business name Zax, Robert Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Feb 18th, 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 1689659781 NPPES
Indiana MEDICAID 100347220
Indiana MEDICAID 64253594
Indiana Other P00003505

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