Ericksen-Clarke, Dawn
Ericksen-Clarke, Dawn is an individual health care provider with primary practice located at 19213 Amber Way , Noblesville IN 46060-8349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ericksen-Clarke, Dawn can be contacted via phone (317) 797-1631.Contact Information
Primary practice address
19213 Amber Way
Noblesville IN 46060-8349
Phone: (317) 797-1631
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71004710A | Indiana |
Profile Details
NPI number | 1700215829 |
---|---|
LBN Legal business name | Ericksen-Clarke, Dawn |
Credentials | ANP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2013 |
Last updated | Mar 19th, 2019 - about 5 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 | 1700215829 | NPPES |
Indiana | Other | P01456970 | MEDICARE RR |
Indiana | Other | 28175006A | MEDICARE RR |
Indiana | MEDICAID | 201229190 | MEDICARE RR |
Indiana | Other | 71004710A | MEDICARE RR |
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