Individual
JOSEPH FOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 KIMBER LANE, EVANSVILLE, IN 47715
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
02005642A
IN
208VP0000X
Pain Medicine Physician
036149269
IL
208VP0000X
Pain Medicine Physician
Primary
04506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001269795
ANTHEM PROVIDER ID NUMBER
—
05
—
036149269
—
IL
01
—
1970185
WELLCARE OF KY PROVIDER ID NUMBER
KY
05
—
300024375
—
IN
01
—
6674915
AETNA PROVIDER ID NUMBER
—
01
—
7056875
UNITED HEALTHCARE PROVIDER ID NUMBER
—
05
—
7100591270
—
KY
01
—
CS1916100305
CARESOURCE PROVIDER ID NUMBER
—
01
—
PDZ000000259409
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
04/09/2014
Last updated
06/14/2022
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