Erickson, Jay

Erickson, Jay is an sole proprietor health care provider with primary practice located at 1458 4Th St Mcagcc/ Magtftc 7Th Marine Regimental Aid Station, Twentynine Palms CA 92278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Jay can be contacted via phone (760) 830-7876.

Contact Information

Primary practice address
1458 4Th St Mcagcc/ Magtftc 7Th Marine Regimental Aid Station Twentynine Palms CA 92278
Phone: (760) 830-7876
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36068 Colorado

Profile Details

NPI number 1447246152
LBN Legal business name Erickson, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 18 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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