Erickson, Joseph R.

Erickson, Joseph R. is an individual health care provider with primary practice located at 12 Palace Gardens Rd , Worcester MA 01607-1725. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Erickson, Joseph R. can be contacted via phone (508) 365-8771.

Contact Information

Primary practice address
12 Palace Gardens Rd Worcester MA 01607-1725
Phone: (508) 365-8771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 4453 Massachusetts

Profile Details

NPI number 1033396791
LBN Legal business name Erickson, Joseph R.
Credentials RDO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - about 16 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 1033396791 NPPES
Massachusetts MEDICAID 0715794

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