East Louisville Neurology, Psc

LBN: East Louisville Neurology, Psc
East Louisville Neurology, Psc is an health care organization with primary practice located at 13806 Lake Point Circle Suite 101, Louisville KY 40223. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. East Louisville Neurology, Psc can be contacted via phone (502) 254-4014, or through Blakeman, Juanita via phone (502) 254-4014.

Contact Information

Primary practice address
13806 Lake Point Circle Suite 101 Louisville KY 40223
Phone: (502) 254-4014
Fax: (502) 254-4015
Website:
Map and Directions
Authorized official contact:
Name: Blakeman, Juanita
Phone: (502) 254-4014

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2084N0400X Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 32411 Kentucky

Profile Details

NPI number 1568622314
LBN Legal business name East Louisville Neurology, Psc
DBA Doing business as
Authorized official Blakeman, Juanita
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2008
Last updated Jan 15th, 2014 - about 12 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 1568622314 NPPES
Kentucky MEDICAID 64324114

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