Individual
DR. JOSH PREBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-2510
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04574
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028784
—
IN
05
—
7100612950
—
KY
01
—
K285350
MEDICARE
KY
Enumeration date
02/25/2017
Last updated
02/09/2023
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