Ericksen, David Gerald
Ericksen, David Gerald is an individual health care provider with primary practice located at 1414 E 4500 S Suite 4, Salt Lake City UT 84117-4228. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ericksen, David Gerald can be contacted via phone (801) 272-8957.Contact Information
Primary practice address
1414 E 4500 S Suite 4
Salt Lake City UT 84117-4228
Phone: (801) 272-8957
Fax: (801) 272-3724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 113012-2501 | Utah |
Profile Details
| NPI number | 1235104225 |
|---|---|
| LBN Legal business name | Ericksen, David Gerald |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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