Erickson, Cheryl Lynn

Erickson, Cheryl Lynn is an individual health care provider with primary practice located at 4813 New Haven Ave , Fort Wayne IN 46803-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Erickson, Cheryl Lynn can be contacted via phone (260) 449-7504.

Contact Information

Primary practice address
4813 New Haven Ave Fort Wayne IN 46803-3018
Phone: (260) 449-7504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000493A Indiana

Profile Details

NPI number 1194713644
LBN Legal business name Erickson, Cheryl Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Feb 28th, 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 1194713644 NPPES
Indiana Other 000000284072 ANTHEM
Indiana MEDICAID 200209490 ANTHEM
Indiana Other 500020243 ANTHEM

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