Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 21327 | KY |
NPI | 1033119987 |
---|---|
Provider Name | Mr. Stanley S. Chmiel |
First Address | Louisville, KY 40207 |
Second Address | Louisville, KY 40207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 10/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000047671 | ANTHEM BCBS (01) | |
10-00015 | UNITED HEALTHCARE (01) | |
1050467 | PASSPORT HEALTHCARE (01) | |
240000100 | RAILROAD MEDICARE (01) | |
240000100 | RR MEDICARE (01) | |
2502325 | CIGNA (01) | |
611005772 | CHAMPA (01) | |
64213275 | (05) | KY |
C74329 | (02) |