<Unavail>

LBN: Tiva Oba, L.L.C.
<Unavail> is an health care organization with primary practice located at 4729 Razor Creek Way , Louisville KY 40299-5533. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Tiva Oba, L.L.C. can be contacted via phone (502) 797-1567, or through Bowen, Christopher Paul via phone (502) 797-1567.

Contact Information

Primary practice address
4729 Razor Creek Way Louisville KY 40299-5533
Phone: (502) 797-1567
Fax: (502) 713-1979
Website:
Map and Directions
Authorized official contact:
Name: Bowen, Christopher Paul CRNA, APRN
Phone: (502) 797-1567

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3005577 Kentucky

Profile Details

NPI number 1740543990
LBN Legal business name Tiva Oba, L.L.C.
DBA Doing business as <Unavail>
Authorized official Bowen, Christopher Paul CRNA, APRN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2012
Last updated Jun 22nd, 2012 - about 14 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 1740543990 NPPES
Kentucky MEDICAID 7100080880

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