Provider Demographics
NPI:1902890650
Name:TOTAL WOMAN
Entity Type:Organization
Organization Name:TOTAL WOMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIAL/AUTORIZED OFFICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-894-9494
Mailing Address - Street 1:4121 DUTCHMAN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4730
Mailing Address - Country:US
Mailing Address - Phone:502-894-9494
Mailing Address - Fax:502-894-9404
Practice Address - Street 1:4121 DUTCHMAN'S LANE
Practice Address - Street 2:SUITE 500
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4730
Practice Address - Country:US
Practice Address - Phone:502-894-9494
Practice Address - Fax:502-894-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty