Agle, Trisha Jean

Agle, Trisha Jean is an individual health care provider with primary practice located at 4402 Churchman Ave Suite 300, Louisville KY 40215-1190. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Agle, Trisha Jean can be contacted via phone (502) 363-0588.

Contact Information

Primary practice address
4402 Churchman Ave Suite 300 Louisville KY 40215-1190
Phone: (502) 363-0588
Fax: (502) 363-0972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04863 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02273 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1801 Kentucky

Profile Details

NPI number 1962568444
LBN Legal business name Agle, Trisha Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 4th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962568444 NPPES
Texas Other PA04863 STATE BOARD LICENSE NO.
Texas MEDICAID 7100252770 STATE BOARD LICENSE NO.
Texas Other 0010-02273 STATE BOARD LICENSE NO.

Popular Providers