Individual
MELISSA G ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
68 CAVALIER BOULEVARD, FLORENCE, KY 41042-1645
(859) 594-1010
(859) 372-5004
Mailing address
2830 VICTORY PARKWAY, PAYOR ENROLLMENT, CINCINNATI, OH 45206-1785
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.120003
OH
207Q00000X
Family Medicine Physician
Primary
47497
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200810110
—
IN
01
—
DC3600
RAILROAD GROUP
IN
01
—
P00416673
RAILROAD INDIVIDUAL
IN
Enumeration date
03/14/2006
Last updated
05/07/2020
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