Individual
WILLIAM S RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1930 BISHOP LN, SUITE 1600, LOUISVILLE, KY 40218-1921
(502) 272-5034
(502) 272-5117
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17709
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057464
ANTHEM PROV ID#
KY
01
—
000000480188
ANTHEM NORTON
KY
01
—
047292
SIHO- NORTON ICC
KY
01
—
047292
SIHO - NICC
—
01
—
100349770
ANTHEM INDIANA MEDICAID- NORTON ICC
IN
01
—
100349770
HEALTHY INDIANA PLAN- NORTON ICC
KY
05
—
100349770
—
IN
01
—
1054506
PASSPORT ID#
KY
01
—
1226924
CHA- NORTON ICC
KY
05
—
64177090
—
KY
01
—
P00362332
RAILROAD MEDICARE
KY
Enumeration date
01/13/2006
Last updated
01/21/2021
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