Commonwealth Infectious Disease Psc

LBN: Commonwealth Infectious Disease Psc
Commonwealth Infectious Disease Psc is an health care organization with primary practice located at 3910 S Dupont Sq Suite A, Louisville KY 40207-4615. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Commonwealth Infectious Disease Psc can be contacted via phone (502) 896-8299, or through Xia, Eric via phone (812) 948-5159.

Contact Information

Primary practice address
3910 S Dupont Sq Suite A Louisville KY 40207-4615
Phone: (502) 896-8299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Xia, Eric Doctor of Medicine (MD)
Phone: (812) 948-5159

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 33270 Kentucky

Profile Details

NPI number 1649232026
LBN Legal business name Commonwealth Infectious Disease Psc
DBA Doing business as
Authorized official Xia, Eric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 1st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649232026 NPPES
Kentucky MEDICAID 65905838

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