Erickson, Marc H

Erickson, Marc H is an individual health care provider with primary practice located at 212 Milwaukee Ave W , Fort Atkinson WI 53538-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Erickson, Marc H can be contacted via phone (920) 563-7900.

Contact Information

Primary practice address
212 Milwaukee Ave W Fort Atkinson WI 53538-2022
Fax: (920) 563-0258
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35381-020 Wisconsin

Profile Details

NPI number 1730105826
LBN Legal business name Erickson, Marc H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 7th, 2023 - about 3 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 1730105826 NPPES
Wisconsin MEDICAID 32033900

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