John, George Robert

John, George Robert is an sole proprietor health care provider with primary practice located at 6400 Dutchmans Pkwy Ste 220 A, Louisville KY 40205-3340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. John, George Robert can be contacted via phone (502) 894-9757.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Ste 220 A Louisville KY 40205-3340
Phone: (502) 894-9757
Fax: (502) 894-9257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01044404 Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29119 Kentucky

Profile Details

NPI number 1326034901
LBN Legal business name John, George Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 19 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 1326034901 NPPES
Indiana MEDICAID 1003129D
Indiana MEDICAID 64291198

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