Erickson, Martin

Erickson, Martin is an individual health care provider with primary practice located at 28275 Five Mile Rd , Livonia MI 48154-3998. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Martin can be contacted via phone (734) 261-1740.

Contact Information

Primary practice address
28275 Five Mile Rd Livonia MI 48154-3998
Fax: (734) 261-1959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014608 Michigan

Profile Details

NPI number 1326028523
LBN Legal business name Erickson, Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 9th, 2009 - about 15 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 1326028523 NPPES
Michigan MEDICAID 4553968

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