Jan J. Weisberg
Otolaryngology/Facial Plastic Surgery
5 Physicians Park Suite 4
Frankfort
, Kentucky 40601-4163
Jan J. Weisberg
Otolaryngology/Facial Plastic Surgery
5 Physicians Park Suite 4
Frankfort
, Kentucky 40601-4163
(502) 226-6455
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Jan J. Weisberg
- 5 Physicians Park Suite 4
- Frankfort, KY
- Zip : 40601-4163
- Fax : (502) 226-6455
- Phone : (502) 227-9911
Second Address
- Jan J. Weisberg
- 5 Physicians Park Suite 4
- Frankfort, KY
- Zip : 40601-4163
- Fax : (502) 226-6455
- Phone : (502) 227-9911
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 26843 | KY |
National Provider Identifier
| NPI | 1811941107 |
|---|---|
| Provider Name | Jan J. Weisberg |
| First Address | Frankfort, KY 40601-4163 |
| Second Address | Frankfort, KY 40601-4163 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 06/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000049298 | ANTHEM PIN (01) | KY |
| 010026106 | RAILROAD MEDICARE (01) | KY |
| 1163158 | CHA HEALTH (01) | KY |
| 311406300 | U.S. DEPT. OF LABOR (01) | KY |
| 611166127 | BLUEGRASS FAMILY HEALTH (01) | KY |
| 64268436 | (05) | KY |
| A43134 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.