Dynamic Medical & Rehab

LBN: Metro Providers, Pllc
Dynamic Medical & Rehab is an health care organization with primary practice located at 3707 Chamberlain Ln Suite 101, Louisville KY 40241-2001. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Metro Providers, Pllc can be contacted via phone (502) 426-9200, or through Henderson, Mark T via phone (502) 426-9200.

Contact Information

Primary practice address
3707 Chamberlain Ln Suite 101 Louisville KY 40241-2001
Phone: (502) 426-9200
Fax: (502) 426-9259
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Mark T Doctor of Medicine (MD)
Phone: (502) 426-9200

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4390 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 33009 Kentucky

Profile Details

NPI number 1811152713
LBN Legal business name Metro Providers, Pllc
DBA Doing business as Dynamic Medical & Rehab
Authorized official Henderson, Mark T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2008
Last updated Sep 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811152713 NPPES
Kentucky MEDICAID 64330095

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