Provider Demographics
NPI:1003900168
Name:WYGAL & NEWMAN LLC
Entity Type:Organization
Organization Name:WYGAL & NEWMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:WYGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-894-4408
Mailing Address - Street 1:4001 KRESGE WAY
Mailing Address - Street 2:SUITE 324
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-894-4408
Mailing Address - Fax:502-894-9775
Practice Address - Street 1:4001 KRESGE WAY
Practice Address - Street 2:SUITE 324
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-894-4408
Practice Address - Fax:502-894-9775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7447Medicare ID - Type Unspecified