Erickson, Susan
Erickson, Susan is an sole proprietor health care provider with primary practice located at 26 Hadley Lake Road , Machias ME 04654-0088. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Erickson, Susan can be contacted via phone (207) 255-8596.Contact Information
Primary practice address
26 Hadley Lake Road
Machias ME 04654-0088
Phone: (207) 255-8596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ME474880 | Maine |
Profile Details
| NPI number | 1881827657 |
|---|---|
| LBN Legal business name | Erickson, Susan |
| Credentials | MASTER SOCIAL WORKER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2009 |
| Last updated | Aug 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881827657 | NPPES |
| Maine | MEDICAID | 115490001 |
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