Axelrod, Judith Ann

Axelrod, Judith Ann is an individual health care provider with primary practice located at 571 S Floyd St Suite 100, Louisville KY 40202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Axelrod, Judith Ann can be contacted via phone (502) 852-5331.

Contact Information

Primary practice address
571 S Floyd St Suite 100 Louisville KY 40202
Fax: (502) 852-7679
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23746 Kentucky

Profile Details

NPI number 1912981903
LBN Legal business name Axelrod, Judith Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1912981903 NPPES
Kentucky MEDICAID 64237464

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