Secor, Chad Philip
Secor, Chad Philip is an individual health care provider with primary practice located at 4003 Kresge Way Ste 227, Louisville KY 40207-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Secor, Chad Philip can be contacted via phone (502) 893-3342.Contact Information
Primary practice address
4003 Kresge Way Ste 227
Louisville KY 40207-4652
Phone: (502) 893-3342
Fax: (502) 893-9575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 35860 | Kentucky |
Profile Details
| NPI number | 1225038177 |
|---|---|
| LBN Legal business name | Secor, Chad Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Feb 19th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225038177 | NPPES |
| Other | P00145931 | RR MEDICARE | |
| MEDICAID | 64085376 | RR MEDICARE | |
| Other | 7864717 | RR MEDICARE | |
| Other | 0000000329395 | RR MEDICARE | |
| Other | 10-00015 | RR MEDICARE | |
| Other | 50005766 | RR MEDICARE |
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