Provider Demographics
NPI:1689052904
Name:HUME, ERIK (DO)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:HUME
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 US-61
Mailing Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028
Mailing Address - Country:US
Mailing Address - Phone:636-933-1111
Mailing Address - Fax:
Practice Address - Street 1:1400 US-61
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028
Practice Address - Country:US
Practice Address - Phone:636-933-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101021621207P00000X, 390200000X
FLOS17391207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program