Healthcare Provider Details

I. General information

NPI: 1821618976
Provider Name (Legal Business Name): MORGAN ELIZABETH HABERMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2020
Last Update Date: 04/19/2020
Certification Date: 04/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4960 NORTON HEALTHCARE BLVD
LOUISVILLE KY
40241-2831
US

IV. Provider business mailing address

1907 PLUM HILL WAY
FLOYDS KNOBS IN
47119-9000
US

V. Phone/Fax

Practice location:
  • Phone: 502-629-8000
  • Fax:
Mailing address:
  • Phone: 502-489-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number007828
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: