Provider Demographics
NPI:1770887572
Name:HEUSER, LOUIS STERLING SR (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:STERLING
Last Name:HEUSER
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1860 MELLWOOD AVE STE 197
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1033
Mailing Address - Country:US
Mailing Address - Phone:502-893-7833
Mailing Address - Fax:502-895-4418
Practice Address - Street 1:1860 MELLWOOD AVE STE 197
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1033
Practice Address - Country:US
Practice Address - Phone:502-893-7833
Practice Address - Fax:502-895-4418
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2023-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY203892083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYC66232Medicare UPIN