Erickson, John

Erickson, John is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, John can be contacted via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Phone: (559) 324-6200
Fax: (559) 324-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G55499 California

Profile Details

NPI number 1821079310
LBN Legal business name Erickson, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Feb 25th, 2020 - about 5 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 1821079310 NPPES
California MEDICAID 00G554990
California Other 00G554990
California Other 110125074
California Other 77040368493612B011

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