Erickson, Melissa G
Erickson, Melissa G is an individual health care provider with primary practice located at 68 Cavalier Boulevard , Florence KY 41042-1645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Erickson, Melissa G can be contacted via phone (859) 594-1010.Contact Information
Primary practice address
68 Cavalier Boulevard
Florence KY 41042-1645
Phone: (859) 594-1010
Fax: (859) 372-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.120003 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47497 | Kentucky |
Profile Details
| NPI number | 1043289994 |
|---|---|
| LBN Legal business name | Erickson, Melissa G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 7th, 2020 - about 6 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 | 1043289994 | NPPES |
| Indiana | MEDICAID | 200810110 | |
| Indiana | Other | DC3600 | |
| Indiana | Other | P00416673 |
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