Erickson, Kent

Erickson, Kent is an individual health care provider with primary practice located at 17183 I 45 S Ste 550 , Shenandoah TX 77385-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Kent can be contacted via phone (936) 270-3800.

Contact Information

Primary practice address
17183 I 45 S Ste 550 Shenandoah TX 77385-3314
Phone: (936) 270-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L4924 Texas

Profile Details

NPI number 1336209873
LBN Legal business name Erickson, Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 17th, 2018 - about 6 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 1336209873 NPPES
Texas Other 00J21A GROUP MEDICARE NUMBER
Texas Other 094010801 GROUP MEDICARE NUMBER
Texas MEDICAID 153879513 GROUP MEDICARE NUMBER
Texas MEDICAID 153879511 GROUP MEDICARE NUMBER
Texas MEDICAID 153879512 GROUP MEDICARE NUMBER
Texas MEDICAID 153879506 GROUP MEDICARE NUMBER

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