Provider Demographics
NPI:1003845850
Name:ERIC C HELLMANN INC.
Entity Type:Organization
Organization Name:ERIC C HELLMANN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CRUMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-267-9099
Mailing Address - Street 1:10101 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-3622
Mailing Address - Country:US
Mailing Address - Phone:502-267-9099
Mailing Address - Fax:502-267-9019
Practice Address - Street 1:10101 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-3622
Practice Address - Country:US
Practice Address - Phone:502-267-9099
Practice Address - Fax:502-267-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY237839OtherBLU CROSS ID #
KY237839OtherBLU CROSS ID #
KY237839OtherBLU CROSS ID #
KYU92880Medicare UPIN