Schack, Brian W

Schack, Brian W is an individual health care provider with primary practice located at 79 Country Club Drive , Butler KY 41006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Schack, Brian W can be contacted via phone (859) 654-2283.

Contact Information

Primary practice address
79 Country Club Drive Butler KY 41006
Phone: (859) 654-2283
Fax: (859) 654-2284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35629 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35629 Kentucky

Profile Details

NPI number 1790721918
LBN Legal business name Schack, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Sep 11th, 2018 - about 8 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 1790721918 NPPES
Kentucky MEDICAID 64014483
Kentucky Other 110208628
Kentucky MEDICAID 2269736
Kentucky Other P00839846

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