Erickson, Kim L

Erickson, Kim L is an sole proprietor health care provider with primary practice located at 4500 Cascade Rd Se Suite #208, Grand Rapids MI 49546-3665. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Erickson, Kim L can be contacted via phone (616) 977-5000.

Contact Information

Primary practice address
4500 Cascade Rd Se Suite #208 Grand Rapids MI 49546-3665
Phone: (616) 977-5000
Fax: (616) 977-0020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X KE011553 Michigan
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X KE011553 Michigan
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X KE011553 Michigan

Profile Details

NPI number 1568486769
LBN Legal business name Erickson, Kim L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 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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