Erickson, Kristin Elise
Erickson, Kristin Elise is an individual health care provider with primary practice located at 9040 Jackson Ave Medical Evaluation Board , Tacoma WA 98431-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Erickson, Kristin Elise can be contacted via phone (253) 968-4479.Contact Information
Primary practice address
9040 Jackson Ave Medical Evaluation Board
Tacoma WA 98431-0001
Phone: (253) 968-4479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 01060086A | Indiana |
Profile Details
| NPI number | 1326253501 |
|---|---|
| LBN Legal business name | Erickson, Kristin Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Mar 31st, 2020 - about 4 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 | 1326253501 | NPPES |
| Indiana | Other | 01060086A | PHYSICIAN LICENSE |
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