Ben A Reid Jr Psc is a Surgery in Louisville, Kentucky. Ben A Reid Jr Psc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ben A Reid Jr Psc is 1528142999. The last update date is 2009-02-24.
Ben A Reid Jr Psc's current location address is 4402 Churchman Ave, Louisville, Kentucky. You can contact this provider via phone number 5023616070 and fax number 5023637811. The mailing address for Ben A Reid Jr Psc is 4402 Churchman Ave, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ben A Reid Jr Psc |
|---|---|
| Address | 4402 Churchman Ave, Louisville, Kentucky |
| Phone Number | 5023616070 |
| Fax Number | 5023637811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE MEMBE |
|---|---|
| Authorized Official Name | Reid A Ben |
| Credentials | MD |
| Telephone Number | 5023616070 |
NPI Number Detail
| NPI Number | 1528142999 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2009-02-24 |
Provider Mailing Address Detail
| Address | 4402 Churchman Ave |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402151190 |
| Phone Number | 5023616070 |
| Fax Number | 5023637811 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 14503 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 641145039 | KY | -- | |
| 1780036 | UNITED HEALTHCARE | ||
| 46091 | KY | ANTHEM | |
| 1059433 | KY | PASSPORT | |
| 2434094000 | KY | PASSPORT ADVANTAGE |
Post Comment/ Review Below
What is the Ben A Reid Jr Psc's 1528142999?
The Ben A Reid Jr Psc's NPI (National Provider Identifier) Number is 1528142999. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ben A Reid Jr Psc is geographically located?
The Ben A Reid Jr Psc is physically situated at the following location: 4402 Churchman Ave, Louisville, KY, 402151190.
What is the Ben A Reid Jr Psc's specialty and taxonomy code?
The Ben A Reid Jr Psc's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528142999 to Ben A Reid Jr Psc?
The Centers for Medicare & Medicaid Services originally issued the 1528142999 to Ben A Reid Jr Psc on 2006-10-24.
As of what date were the Ben A Reid Jr Psc's details last updated?
The information pertaining to the Ben A Reid Jr Psc, including its address, specialty, and other details, was most recently updated on 2009-02-24.