Bailen, Erica L
Bailen, Erica L is an individual health care provider with primary practice located at 100 Mallard Creek Rd Ste 395 , Louisville KY 40207-5167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bailen, Erica L can be contacted via phone (502) 895-9421.Contact Information
Primary practice address
100 Mallard Creek Rd Ste 395
Louisville KY 40207-5167
Phone: (502) 895-9421
Fax: (502) 899-5762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45212 | Kentucky |
Profile Details
| NPI number | 1710077888 |
|---|---|
| LBN Legal business name | Bailen, Erica L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Feb 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710077888 | NPPES |
| North Carolina | MEDICAID | 5917585 | |
| North Carolina | MEDICAID | 001404100 |
Popular Providers
-
Sayat, Jonathan G
555 S Floyd St , Louisville KY 40202-3822 -
Coyle, Tobey L
2215 Portland Ave , Louisville KY 40212-1033 -
Housworth, William J
1 Audubon Plaza Dr , Louisville KY 40217-1318 -
Speer, David L
5120 Dixie Hwy Suite 101, Louisville KY 40216-1702 -
Livera, Harold J
217 Breckenridge Ln , Louisville KY 40207-3858 -
Kamber, Steven J
5120 Dixie Hwy Suite 101, Louisville KY 40216-1702 -
Allgeier, Maurice K
6425 Bardstown Rd , Louisville KY 40291-3040 -
Brumleve, Kimberley
2215 Portland Ave , Louisville KY 40212-1033