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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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