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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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