Erickson, Mary J

Erickson, Mary J is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1898. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Erickson, Mary J can be contacted via phone (937) 641-3321.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1898
Phone: (937) 641-3321
Fax: (937) 641-4410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 35073493 Ohio

Profile Details

NPI number 1033270616
LBN Legal business name Erickson, Mary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 18 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 1033270616 NPPES
Ohio Other 000000329156 BCBS ANTHEM
Ohio MEDICAID 2132767 BCBS ANTHEM

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