Ervin, Eric Douglas

Ervin, Eric Douglas is an individual health care provider with primary practice located at 110 3Rd St Suite 180, Henderson KY 42420-2993. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ervin, Eric Douglas can be contacted via phone (270) 827-3573.

Contact Information

Primary practice address
110 3Rd St Suite 180 Henderson KY 42420-2993
Fax: (270) 827-1250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35996 Kentucky

Profile Details

NPI number 1225105596
LBN Legal business name Ervin, Eric Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 25th, 2013 - about 13 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 1225105596 NPPES
Kentucky MEDICAID 65913394

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