Erickson, Michael Shane
Erickson, Michael Shane is an individual health care provider with primary practice located at 550 16Th Ave Ste 100 , Seattle WA 98122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Erickson, Michael Shane can be contacted via phone (206) 320-2484.Contact Information
Primary practice address
550 16Th Ave Ste 100
Seattle WA 98122
Phone: (206) 320-2484
Fax: (206) 320-4568
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00042707 | Washington |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD00042707 | Washington |
Profile Details
NPI number | 1295703221 |
---|---|
LBN Legal business name | Erickson, Michael Shane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Feb 1st, 2022 - about 2 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 | 1295703221 | NPPES |
Washington | MEDICAID | 1006928 | |
Washington | MEDICAID | 8360471 | |
Washington | MEDICAID | 1295703221 |
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