Provider Demographics
NPI:1114352796
Name:PRO CLIENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PRO CLIENT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMETT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OGDEN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:502-741-6607
Mailing Address - Street 1:700 BLANKENBAKER LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1040
Mailing Address - Country:US
Mailing Address - Phone:502-741-6607
Mailing Address - Fax:502-414-0262
Practice Address - Street 1:700 BLANKENBAKER LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-1040
Practice Address - Country:US
Practice Address - Phone:502-741-6607
Practice Address - Fax:502-414-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty