Provider Demographics
NPI:1528054541
Name:MAUL, ERICH CHARLES (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:ERICH
Middle Name:CHARLES
Last Name:MAUL
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KENTUCKY CHILDRENS HOSPITAL
Mailing Address - Street 2:800 ROSE STREET, H-404
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-218-2581
Mailing Address - Fax:
Practice Address - Street 1:KENTUCKY CHILDRENS HOSPITAL
Practice Address - Street 2:800 ROSE STREET, H-404
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-218-2581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2961208000000X
KY02961208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics