Ericksen, Donald Paul

Ericksen, Donald Paul is an individual health care provider with primary practice located at 6 13Th Ave E , Polson MT 59860-5315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ericksen, Donald Paul can be contacted via phone (406) 883-5680.

Contact Information

Primary practice address
6 13Th Ave E Polson MT 59860-5315
Phone: (406) 883-5680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8461 Montana

Profile Details

NPI number 1386755395
LBN Legal business name Ericksen, Donald Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 27th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386755395 NPPES
Montana Other 000017571 BLUE CROSS
Montana MEDICAID 0108758 BLUE CROSS

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