Organization
MADONNA RINGSWALD DO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA RINGSWALD D.O. (OWNER)
(502) 222-1545
Entity
Organization
Contact information
Practice address
1031 NEW MOODY LN, SUITE 301, LAGRANGE, KY 40031-9151
(502) 222-1545
(502) 222-1679
Mailing address
PO BOX 65, LAGRANGE, KY 40031-0065
(502) 222-1545
(502) 222-1679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055793
PASSPORT
KY
01
—
2434204000
PASSPORT ADVANTAGE
KY
05
—
65919623
—
KY
Enumeration date
03/08/2007
Last updated
02/25/2009
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