Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35040680E | OH |
N | 111NI0900X | Internist | 35040680E | OH |
Y | 207R00000X | Internist | 45561 | KY |
Y | 111NI0900X | Internist | 45561 | KY |
N | 207RG0300X | Geriatric Medicine | 40680 | OH |
N | 207RG0300X | Geriatric Medicine | 45561 | KY |
NPI | 1073570958 |
---|---|
Provider Name | Peter A Esch |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40208-1450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 18/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0351588 | (05) | OH |
A75834 | (02) | OH |