Anderson Ericksen, Nicole Lee
Anderson Ericksen, Nicole Lee is an individual health care provider with primary practice located at 2300 S 16Th St , Lincoln NE 68502-3704. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Anderson Ericksen, Nicole Lee can be contacted via phone (402) 481-8566.Contact Information
Primary practice address
2300 S 16Th St
Lincoln NE 68502-3704
Phone: (402) 481-8566
Fax: (402) 481-8805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 22601 | Nebraska |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22601 | Nebraska |
Profile Details
| NPI number | 1225141955 |
|---|---|
| LBN Legal business name | Anderson Ericksen, Nicole Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225141955 | NPPES |
| Nebraska | MEDICAID | 03037818500 | |
| Nebraska | MEDICAID | 10024994600 |
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