Individual
DR. JEFFREY C NAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3999 DUTCHMANS LN, SUITE #3A, SUBURBAN PLAZA ONE, LOUISVILLE, KY 40207-4714
(502) 897-7300
(502) 897-3332
Mailing address
3999 DUTCHMANS LN, SUITE #3A, SUBURBAN PLAZA ONE, LOUISVILLE, KY 40207-4714
(502) 897-7300
(502) 897-3332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41958
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000571084
CARESOURCE
—
01
—
097626
SHIO
—
01
—
118476358
GREATWEST
—
01
—
3542140000
PASSPORT ADVANTAGE
—
01
—
4403029
CIGNA
—
01
—
50020742
PASSPORT
—
01
—
610889380
TRICARE
—
05
—
7100064910
—
KY
01
—
9713169
AETNA
—
Enumeration date
02/05/2007
Last updated
07/21/2011
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