Gackenbach, Brian Keith

Gackenbach, Brian Keith is an sole proprietor health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Gackenbach, Brian Keith can be contacted via phone (502) 217-1053.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3009514 Kentucky

Profile Details

NPI number 1306229349
LBN Legal business name Gackenbach, Brian Keith
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2015
Last updated Aug 17th, 2015 - about 11 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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