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MICHAEL ALT DO PSC NPI 1508030032


NPI Information

NPI: 1508030032
Provider Name: MICHAEL ALT DO PSC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY
ZIP 40220
Phone: (502) 454-7871
Get Directions

MICHAEL ALT DO PSC is a neurology psychiatry neurology in Louisville, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MICHAEL ALT DO PSC NPI is 1508030032. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY
ZIP 40220-903
Phone: (502) 454-7871
Fax: (502) 454-7872

The provider's authorized official is Michael Alt .
The authorized official title is Owner and has the following contact phone number (502) 897-5997.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100641MEDICARE PINKENTUCKY
250018842OTHERKENTUCKYPASSPORT
364022452MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.