Erickson, Gerald A
Erickson, Gerald A is an individual health care provider with primary practice located at 260 Elm St , Cumming GA 30040-2467. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Erickson, Gerald A can be contacted via phone (770) 887-1668.Contact Information
Primary practice address
260 Elm St
Cumming GA 30040-2467
Phone: (770) 887-1668
Fax: (770) 781-9937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004309 | Georgia |
Profile Details
| NPI number | 1154329803 |
|---|---|
| LBN Legal business name | Erickson, Gerald A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Aug 25th, 2011 - 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 | 1154329803 | NPPES |
| Georgia | Other | 004309 | GA PHYS ASSISTANT LIC # |
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