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Contact Information

TRISHA J AGLE, PA-C
4402 CHURCHMAN AVE
SUITE 300
LOUISVILLE, KY40215-1190
 Phone: 502-363-0588
 Fax: 502-363-0972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TRISHA J AGLE · (Female)

NPI Number 1962568444
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/29/2006
Last updated 06/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # PA1801
  • NC License # 0010-02273
  • TX License # PA04863
  • KY Medicaid 7100252770
  • NC Other 0010-02273 NCMB
  • TX Other PA04863 STATE BOARD LICENSE NO.
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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