Robert G Churchman, ND, FIAMA, LMT

Individual provider Active NPI Naturopath · Louisville, KY

NPI 1447857032 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1447857032
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
License
200003535595 (NC)
Practice address
306 Middletown Park PL Ste D
Louisville, KY 40243-2517
Phone
(502) 245-0026
Fax
(502) 245-0036
NPI assigned
Oct 6, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
200003535595NCMDNaturopath

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath
Group: 193400000X SINGLE SPECIALTY GROUP
175F00000X 200003535595 NC Yes

Addresses

Primary practice location

306 Middletown Park PL Ste D
Louisville, KY 40243-2517

Mailing address

306 Middletown Park PL Ste D
Louisville, KY 40243-2517
Phone (502) 245-0026

Electronic endpoints

TypeEndpointUseAffiliation
Other URL naturopathyassociatesinc@gmail.com Direct

Other providers in Louisville, KY

All providers in Louisville, KY · Naturopath in Kentucky

Sources for this page

Verify at the official NPI Registry.