Elicker, Edward R

Elicker, Edward R is an individual health care provider with primary practice located at 350 Thomas More Pkwy Suite 200, Crestview Hills KY 41017-5465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Elicker, Edward R can be contacted via phone (859) 363-2200.

Contact Information

Primary practice address
350 Thomas More Pkwy Suite 200 Crestview Hills KY 41017-5465
Phone: (859) 363-2200
Fax: (859) 363-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35-03-1763 Ohio

Profile Details

NPI number 1780626424
LBN Legal business name Elicker, Edward R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jan 31st, 2013 - about 11 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 1780626424 NPPES
Kentucky MEDICAID 64180011
Kentucky MEDICAID 0203541
Kentucky Other P00013186
Kentucky Other 340011126

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