Erickson, Evelyn J
Erickson, Evelyn J is an individual health care provider with primary practice located at 3701 12Th St N Suite 100, St Cloud MN 56303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Erickson, Evelyn J can be contacted via phone (320) 253-7257.Contact Information
Primary practice address
3701 12Th St N Suite 100
St Cloud MN 56303
Phone: (320) 253-7257
Fax: (320) 251-2938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 37346 | Minnesota |
Profile Details
| NPI number | 1568480366 |
|---|---|
| LBN Legal business name | Erickson, Evelyn J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 29th, 2010 - about 14 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 | 1568480366 | NPPES |
| Minnesota | MEDICAID | 145719500 | |
| Minnesota | Other | 111011 | |
| Minnesota | Other | 1006655 | |
| Minnesota | Other | 6T195ER | |
| Minnesota | Other | 249000019 | |
| Minnesota | Other | 1301024 | |
| Minnesota | Other | 145719500 |
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