Erickson, Charles G
Erickson, Charles G is an individual health care provider with primary practice located at 1021 N 27Th St , Lincoln NE 68503-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Erickson, Charles G can be contacted via phone (402) 476-1455.Contact Information
Primary practice address
1021 N 27Th St
Lincoln NE 68503-1803
Phone: (402) 476-1455
Fax: (402) 476-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11074 | Nebraska |
Profile Details
| NPI number | 1750508065 |
|---|---|
| LBN Legal business name | Erickson, Charles G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 13th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750508065 | NPPES |
| Nebraska | Other | 11074 | STATE LICENSE NUMBER |
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