Takimoto, Erica Lee

Takimoto, Erica Lee is an individual health care provider with primary practice located at 4003 Kresge Way Ste 11 , Louisville KY 40207-4652. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Takimoto, Erica Lee can be contacted via phone (502) 928-8790.

Contact Information

Primary practice address
4003 Kresge Way Ste 11 Louisville KY 40207-4652
Phone: (502) 928-8790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 005734 Arizona
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X TP332 Kentucky
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X DO217355 Oregon
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 04030 Kentucky

Profile Details

NPI number 1609032762
LBN Legal business name Takimoto, Erica Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated May 29th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609032762 NPPES
Indiana MEDICAID 201389390
Indiana MEDICAID 7100426830

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