National Provider Identifier Database

BELLEFONTE PHYSICIAN SERVICES INC
Plastic and Reconstructive Surgery


Contact Information

BELLEFONTE PHYSICIAN SERVICES, INC.
1000 ASHLAND DR
STE. 303
ASHLAND, KY41101-7084
Phone: 606-325-0753
Fax: 606-325-0757
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for BELLEFONTE PHYSICIAN SERVICES, INC.

NPI Number 1316105133
Legal business name
LBN
BELLEFONTE PHYSICIAN SERVICES, INC.
Authorized official TROY CONNETT - (DIRECTOR OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 05/29/2008
Last updated 11/13/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 7100051130
  • OH Medicaid: 2873270
  • KY Other: 000000568862 ANTHEM BCBS
  • KY Other: DN8303 RR MEDICARE

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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