Provider Demographics
NPI:1093884256
Name:HILGEFORD, ERIC J (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:HILGEFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MERIDIAN AVE
Mailing Address - Street 2:DRS HILGEFORD MORGAN & HANEY PLLC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3850
Mailing Address - Country:US
Mailing Address - Phone:502-893-0495
Mailing Address - Fax:502-875-7009
Practice Address - Street 1:201 MERIDIAN AVE
Practice Address - Street 2:DRS HILGEFORD MORGAN & HANEY PLLC
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3850
Practice Address - Country:US
Practice Address - Phone:502-893-0495
Practice Address - Fax:502-875-7009
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY18600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64186000Medicaid
6050Medicare ID - Type Unspecified
KY64186000Medicaid
0605002Medicare ID - Type Unspecified