Ericksen, Matthew Campbell
Ericksen, Matthew Campbell is an individual health care provider with primary practice located at 1155 W Parkview St Suite 2J, Bolivar MO 65613-8279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Ericksen, Matthew Campbell can be contacted via phone (417) 328-7000.Contact Information
Primary practice address
1155 W Parkview St Suite 2J
Bolivar MO 65613-8279
Phone: (417) 328-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 2012015105 | Missouri |
Profile Details
| NPI number | 1285956797 |
|---|---|
| LBN Legal business name | Ericksen, Matthew Campbell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2010 |
| Last updated | Apr 23rd, 2021 - about 4 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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