Erickson, Deon Rae

Erickson, Deon Rae is an individual health care provider with primary practice located at 3615 W Woolbright Rd , Boynton Beach FL 33436-7244. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Erickson, Deon Rae can be contacted via phone (561) 734-1887.

Contact Information

Primary practice address
3615 W Woolbright Rd Boynton Beach FL 33436-7244
Phone: (561) 734-1887
Fax: (561) 736-8991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2628 Florida

Profile Details

NPI number 1659338929
LBN Legal business name Erickson, Deon Rae
Credentials OD INC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Dec 12th, 2007 - about 17 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 1659338929 NPPES
Florida MEDICAID 084865400

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