Erickson, Marvin L
Erickson, Marvin L is an individual health care provider with primary practice located at 6370 W Union Hills Dr , Glendale AZ 85308-7136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Erickson, Marvin L can be contacted via phone (623) 414-3500.Contact Information
Primary practice address
6370 W Union Hills Dr
Glendale AZ 85308-7136
Phone: (623) 414-3500
Fax: (623) 455-9214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28384 | Arizona |
Profile Details
| NPI number | 1679569776 |
|---|---|
| LBN Legal business name | Erickson, Marvin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Nov 13th, 2017 - about 7 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 | 1679569776 | NPPES |
| Arizona | MEDICAID | 512774 |
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