Erickson, David W

Erickson, David W is an individual health care provider with primary practice located at 4122 E Towne Blvd , Madison WI 53704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Erickson, David W can be contacted via phone (608) 242-6855.

Contact Information

Primary practice address
4122 E Towne Blvd Madison WI 53704
Phone: (608) 242-6855
Fax: (608) 242-6848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 762 Wisconsin

Profile Details

NPI number 1144206715
LBN Legal business name Erickson, David W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Feb 17th, 2021 - about 3 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 1144206715 NPPES
Wisconsin Other 70 DEANCARE PROV #
Wisconsin MEDICAID 43888400 DEANCARE PROV #
Wisconsin Other 500010950 DEANCARE PROV #
Wisconsin Other 1009390 DEANCARE PROV #
Wisconsin Other 391023846 DEANCARE PROV #

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