Erickson, Dale
Erickson, Dale is an individual health care provider with primary practice located at 3821 Masthead St Ne , Albuquerque NM 87109-4679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Erickson, Dale can be contacted via phone (505) 998-7400.Contact Information
Primary practice address
3821 Masthead St Ne
Albuquerque NM 87109-4679
Phone: (505) 998-7400
Fax: (505) 998-7741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 71-30 | New Mexico |
Profile Details
| NPI number | 1659393197 |
|---|---|
| LBN Legal business name | Erickson, Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jan 27th, 2016 - about 9 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 | 1659393197 | NPPES |
| New Mexico | MEDICAID | 8110 |
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