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
Phone: (502) 583-6647
Fax: (502) 585-4824
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689659781 | NPPES |
| Indiana | MEDICAID | 100347220 | |
| Indiana | MEDICAID | 64253594 | |
| Indiana | Other | P00003505 |
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