Erickson, Bernard Rudolph

Erickson, Bernard Rudolph is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Erickson, Bernard Rudolph can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35376 Minnesota
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35376 Minnesota

Profile Details

NPI number 1306848122
LBN Legal business name Erickson, Bernard Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Aug 9th, 2012 - about 12 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 1306848122 NPPES
Other 771742 ARAZ GROUP AMERICAS PPO
Other 2114046 ARAZ GROUP AMERICAS PPO
Other 2500065 ARAZ GROUP AMERICAS PPO
Other HP26067 ARAZ GROUP AMERICAS PPO
Other 106328 ARAZ GROUP AMERICAS PPO
MEDICAID 695582700 ARAZ GROUP AMERICAS PPO
Other 42Q68ER ARAZ GROUP AMERICAS PPO
Other 695582700 ARAZ GROUP AMERICAS PPO
Other 060046908 ARAZ GROUP AMERICAS PPO
Other 1016077 ARAZ GROUP AMERICAS PPO

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