Erickson, Eric Edward
Erickson, Eric Edward is an sole proprietor health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Erickson, Eric Edward can be contacted via phone (616) 281-6372.Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 281-6372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 036090369 | Illinois |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101020205 | Michigan |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036090369 | Illinois |
Profile Details
| NPI number | 1558342220 |
|---|---|
| LBN Legal business name | Erickson, Eric Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 17th, 2022 - about 2 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 | 1558342220 | NPPES |
| Illinois | MEDICAID | 036090369 |
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