Erickson, Bradley W

Erickson, Bradley W is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Erickson, Bradley W can be contacted via phone (812) 331-3400.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Phone: (812) 331-3400
Fax: (812) 332-7265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01059864A Indiana

Profile Details

NPI number 1982734208
LBN Legal business name Erickson, Bradley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Dec 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982734208 NPPES
Indiana MEDICAID 200165460
Indiana MEDICAID 200864920

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