Ericksen, Alan Steven

Ericksen, Alan Steven is an individual health care provider with primary practice located at 3024 Business Park Cir , Goodlettsville TN 37072-3132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ericksen, Alan Steven can be contacted via phone (615) 851-6033.

Contact Information

Primary practice address
3024 Business Park Cir Goodlettsville TN 37072-3132
Phone: (615) 851-6033
Fax: (615) 851-2018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 37124 Tennessee

Profile Details

NPI number 1164477154
LBN Legal business name Ericksen, Alan Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 30th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164477154 NPPES
Tennessee Other 1509265 MEDICAID - MTI
Tennessee MEDICAID 3335347 MEDICAID - MTI
Tennessee Other 4114096 MEDICAID - MTI
Tennessee Other 4291466 MEDICAID - MTI
Tennessee Other 64122591 MEDICAID - MTI
Tennessee MEDICAID 1509265 MEDICAID - MTI
Tennessee Other 4200472 MEDICAID - MTI
Tennessee MEDICAID 3882323 MEDICAID - MTI

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