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Contact Information

LOUISVILLE NEUROSURGICAL SPECIALIST PSC
4010 DUPONT CIR
SUITE L28
LOUISVILLE, KY40207-4812
 Phone: 502-899-9099
 Fax: 502-899-9899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LOUISVILLE NEUROSURGICAL SPECIALIST PSC

NPI # 1184760357
LBN Legal business name LOUISVILLE NEUROSURGICAL SPECIALIST PSC
Authorized official DAVID PETRUSKA - (OWNER PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2007
Last updated 08/20/2007 - About 19 years ago
Identifiers
KY License # 24702
Other 50001903 PASSPORT ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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