Ericksen, Rosan

Ericksen, Rosan is an individual health care provider with primary practice located at 607 Donna Way , San Jacinto CA 92583-5517. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ericksen, Rosan can be contacted via phone (951) 487-9627.

Contact Information

Primary practice address
607 Donna Way San Jacinto CA 92583-5517
Phone: (951) 487-9627
Fax: (951) 487-2448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RA835700 California

Profile Details

NPI number 1699803171
LBN Legal business name Ericksen, Rosan
Credentials CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
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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