Erickson, Joel S

Erickson, Joel S is an individual health care provider with primary practice located at 500 Doyle Park Dr Suite 205, Santa Rosa CA 95405-4558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Erickson, Joel S can be contacted via phone (707) 527-8444.

Contact Information

Primary practice address
500 Doyle Park Dr Suite 205 Santa Rosa CA 95405-4558
Phone: (707) 527-8444
Fax: (707) 578-7863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G54218 California

Profile Details

NPI number 1407899479
LBN Legal business name Erickson, Joel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - 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 1407899479 NPPES
California MEDICAID 00G542180

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