Individual
JAN J. WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 PHYSICIANS PARK, SUITE 4, FRANKFORT, KY 40601-4163
(502) 227-9911
(502) 226-6455
Mailing address
5 PHYSICIANS PARK, SUITE 4, FRANKFORT, KY 40601-4163
(502) 227-9911
(502) 226-6455
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
26843
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049298
ANTHEM PIN
KY
01
—
010026106
RAILROAD MEDICARE
KY
01
—
1163158
CHA HEALTH
KY
01
—
311406300
U.S. DEPT. OF LABOR
KY
01
—
611166127
BLUEGRASS FAMILY HEALTH
KY
05
—
64268436
—
KY
Enumeration date
05/20/2006
Last updated
07/06/2010
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