Provider Demographics
NPI:1770939043
Name:RSS INC DBA MEDIWEIGHTLOSS
Entity type:Organization
Organization Name:RSS INC DBA MEDIWEIGHTLOSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STONICHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-200-1100
Mailing Address - Street 1:166 N HURSTBOURNE PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5108
Mailing Address - Country:US
Mailing Address - Phone:502-200-1100
Mailing Address - Fax:502-410-4418
Practice Address - Street 1:166 N HURSTBOURNE PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5108
Practice Address - Country:US
Practice Address - Phone:502-200-1100
Practice Address - Fax:502-410-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty