Seligman, Jerry Walter
Seligman, Jerry Walter is an sole proprietor health care provider with primary practice located at 5811 Glen Park Rd , Louisville KY 40222-5980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Seligman, Jerry Walter can be contacted via phone (502) 425-2242.Contact Information
Primary practice address
5811 Glen Park Rd
Louisville KY 40222-5980
Phone: (502) 425-2242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13947 | Kentucky |
Profile Details
| NPI number | 1750595740 |
|---|---|
| LBN Legal business name | Seligman, Jerry Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750595740 | NPPES |
| Kentucky | MEDICAID | 64139470 |
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