Organization
JAMES E SEGAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E SEGAL MD (SOLO MEMBER OWNER)
(502) 897-2531
Entity
Organization
Contact information
Practice address
4121 DUTCHMANS LN, SUITE 101, LOUISVILLE, KY 40207-4707
(502) 897-9416
(502) 896-8660
Mailing address
4121 DUTCHMANS LN, SUITE 101, LOUISVILLE, KY 40207-4707
(502) 897-9416
(502) 896-8660
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29732
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190952
ANTHEM
KY
01
—
2441827000
PASSPORT ADVANTAGE
KY
01
—
50000109
PASSPORT
KY
05
—
64297328
—
KY
Enumeration date
10/24/2006
Last updated
02/24/2009
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