National Provider Identifier Database

INDEPENDENCE URGENT CARE LLC
Urgent Care


Contact Information

INDEPENDENCE URGENT CARE LLC
2025 DECLARATION DRIVE
INDEPENDENCE, KY41051
Phone: 859-363-3330
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for INDEPENDENCE URGENT CARE LLC

NPI Number 1508000951
Legal business name
LBN
INDEPENDENCE URGENT CARE LLC
Authorized official BASHAR BRIJAWI - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/29/2009
Last updated 04/07/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 0726566
  • KY Medicaid: 7100091380

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.

Reviews for INDEPENDENCE URGENT CARE LLC

There are currently no reviews for INDEPENDENCE URGENT CARE LLC


NPIdb - Home
v2.201