1053434050 NPI number — SAHNER AND ASSOCIATES INC.

Table of content: (NPI 1053434050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053434050 NPI number — SAHNER AND ASSOCIATES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAHNER AND ASSOCIATES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053434050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
173 SEARS AVE
Provider Second Line Business Mailing Address:
SUITE 261
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40207-5059
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-899-5595
Provider Business Mailing Address Fax Number:
502-899-3537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
173 SEARS AVE
Provider Second Line Business Practice Location Address:
SUITE 261
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-5059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-899-5595
Provider Business Practice Location Address Fax Number:
502-899-3537
Provider Enumeration Date:
04/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAHNER
Authorized Official First Name:
CRYSTAL
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR, PRESIDENT
Authorized Official Telephone Number:
502-899-5595

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  KY 0941 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 17000605 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 041680000 . This is a "MAGELLAN ID NUMBER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1132407 . This is a "CIGNA VENDOR NUMBER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 165111121022 . This is a "HUMANA PROVIDER NUMBER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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