Erickson, Jay S

Erickson, Jay S is an individual health care provider with primary practice located at 1111 Baker Ave Glacier Medical Associates, Whitefish MT 59937-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Jay S can be contacted via phone (406) 862-2515.

Contact Information

Primary practice address
1111 Baker Ave Glacier Medical Associates Whitefish MT 59937-2901
Phone: (406) 862-2515
Fax: (406) 862-4229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6585 Montana

Profile Details

NPI number 1235237660
LBN Legal business name Erickson, Jay S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 12th, 2008 - 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 1235237660 NPPES
Montana Other 000008287 MEDICARE PART B GRP ID#
Montana Other 1104882232 MEDICARE PART B GRP ID#
Montana Other 6585 MEDICARE PART B GRP ID#
Montana MEDICAID 0085163 MEDICARE PART B GRP ID#
Montana Other 27D0411341 MEDICARE PART B GRP ID#
Montana Other CI2709 MEDICARE PART B GRP ID#
Montana Other 810350909 MEDICARE PART B GRP ID#
Montana Other 080026846 MEDICARE PART B GRP ID#
Montana Other 000000061 MEDICARE PART B GRP ID#

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