Homrighausen, James Keith

Homrighausen, James Keith is an sole proprietor health care provider with primary practice located at 5120 Charlestown Rd Ste 1, New Albany IN 47150-9497. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Homrighausen, James Keith can be contacted via phone (812) 944-4000.

Contact Information

Primary practice address
5120 Charlestown Rd Ste 1 New Albany IN 47150-9497
Phone: (812) 944-4000
Fax: (812) 944-4505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12010004 Indiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7213 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 12010004 Indiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 7213 Kentucky

Profile Details

NPI number 1811970254
LBN Legal business name Homrighausen, James Keith
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Nov 21st, 2014 - about 12 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 1811970254 NPPES
Kentucky MEDICAID 1129756
Kentucky MEDICAID 60072139
Kentucky MEDICAID 64072135
Kentucky MEDICAID 200161030
Kentucky MEDICAID 0005804

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