Ericksen, Andrew G
Ericksen, Andrew G is an individual health care provider with primary practice located at 2160 E 4500 S Ste 3 Same, Holladay UT 84117-4499. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ericksen, Andrew G can be contacted via phone (801) 277-9213.Contact Information
Primary practice address
2160 E 4500 S Ste 3 Same
Holladay UT 84117-4499
Phone: (801) 277-9213
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 79993339922 | Utah |
Profile Details
NPI number | 1811265143 |
---|---|
LBN Legal business name | Ericksen, Andrew G |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2011 |
Last updated | Jul 28th, 2016 - about 9 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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