Stevens, Erica Lynn
Stevens, Erica Lynn is an individual health care provider with primary practice located at 411 E Chestnut St , Louisville KY 40202-1713. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Stevens, Erica Lynn can be contacted via phone (502) 588-4940.Contact Information
Primary practice address
411 E Chestnut St
Louisville KY 40202-1713
Phone: (502) 588-4940
Fax: (502) 588-7712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 53456 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 01085389A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT212692 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MD461129 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 53456 | Kentucky |
Profile Details
| NPI number | 1417375197 |
|---|---|
| LBN Legal business name | Stevens, Erica Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2014 |
| Last updated | Nov 22nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417375197 | NPPES |
| Indiana | Other | 01085389A | INDIANA MEDICAL LICENSE |
| Indiana | Other | 53456 | INDIANA MEDICAL LICENSE |
| Indiana | Other | 01085389B | INDIANA MEDICAL LICENSE |
| Indiana | Other | MT212692 | INDIANA MEDICAL LICENSE |
| Indiana | Other | MD461129 | INDIANA MEDICAL LICENSE |
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