Diebold, Sara Greene

Diebold, Sara Greene is an individual health care provider with primary practice located at 3840 Ruckriegel Pkwy Suite 105, Louisville KY 40299-6835. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Diebold, Sara Greene can be contacted via phone (502) 261-7227.

Contact Information

Primary practice address
3840 Ruckriegel Pkwy Suite 105 Louisville KY 40299-6835
Phone: (502) 261-7227
Fax: (502) 261-7157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47488 Kentucky

Profile Details

NPI number 1225327174
LBN Legal business name Diebold, Sara Greene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Jan 26th, 2021 - about 5 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 1225327174 NPPES
Kentucky MEDICAID 7100315080
Kentucky Other 000000897766
Kentucky Other 50077879
Kentucky Other K360020

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