Foreman, Brenda Sue

Foreman, Brenda Sue is an individual health care provider with primary practice located at 315 E Broadway , Louisville KY 40202-3700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Foreman, Brenda Sue can be contacted via phone (502) 629-2500.

Contact Information

Primary practice address
315 E Broadway Louisville KY 40202-3700
Phone: (502) 629-2500
Fax: (502) 629-2055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4484S Kentucky

Profile Details

NPI number 1073658902
LBN Legal business name Foreman, Brenda Sue
Credentials ARNP-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 1st, 2010 - about 16 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 1073658902 NPPES
Kentucky Other 50026824 PASSPORT HEALTH PLANS
Kentucky MEDICAID 78007044 PASSPORT HEALTH PLANS
Kentucky Other 4484S PASSPORT HEALTH PLANS

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