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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043289994 NPPES
Indiana MEDICAID 200810110
Indiana Other DC3600
Indiana Other P00416673

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