Hertweck, Susan P

Hertweck, Susan P is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 303 , Louisville KY 40207-4723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Hertweck, Susan P can be contacted via phone (502) 559-1750.

Contact Information

Primary practice address
3991 Dutchmans Ln Ste 303 Louisville KY 40207-4723
Phone: (502) 559-1750
Fax: (502) 666-7707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25239 Kentucky
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 25239 Kentucky

Profile Details

NPI number 1134147325
LBN Legal business name Hertweck, Susan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 26th, 2020 - about 6 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 1134147325 NPPES
Indiana MEDICAID 100332440
Indiana Other 1049243
Indiana Other 000000047600
Indiana MEDICAID 64252398
Indiana Other 1049273
Indiana Other K027510
Indiana Other 1049241
Indiana Other 50034184
Indiana Other 000000045416

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