John W Berkenbosch
Pediatrician Pediatric Critical Care Doctor
231 E Chestnut St
Louisville
, Kentucky 40202-1821
John W Berkenbosch
Pediatrician Pediatric Critical Care Doctor
231 E Chestnut St
Louisville
, Kentucky 40202-1821
(502) 629-5865
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- John W Berkenbosch
- Po Box 909
- Louisville, KY
- Zip : 40201-0909
- Fax : (502) 629-5865
- Phone : (502) 629-6000
Second Address
- John W Berkenbosch
- 231 E Chestnut St
- Louisville, KY
- Zip : 40202-1821
- Fax : (502) 629-5865
- Phone : (502) 629-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 38590 | KY |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 38590 | KY |
National Provider Identifier
| NPI | 1275517179 |
|---|---|
| Provider Name | John W Berkenbosch |
| First Address | Louisville, KY 40201-0909 |
| Second Address | Louisville, KY 40202-1821 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2005 |
| Last Update Date | 12/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200493520 | (05) | IN |
| 64090947 | (05) | KY |
| H00349 | (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.