Ericksen, Andrea M

Ericksen, Andrea M is an individual health care provider with primary practice located at 58 Old Colony Ave , South Boston MA 02127-2406. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Ericksen, Andrea M can be contacted via phone (617) 268-1700.

Contact Information

Primary practice address
58 Old Colony Ave South Boston MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1841572336
LBN Legal business name Ericksen, Andrea M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2011
Last updated Sep 12th, 2011 - about 14 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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