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:
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Health care specialties

SpecialtyCodeLicense #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 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 1295703221 NPPES
Washington MEDICAID 1006928
Washington MEDICAID 8360471
Washington MEDICAID 1295703221

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