Erickson, Susan Lee
Erickson, Susan Lee is an sole proprietor health care provider with primary practice located at 327 S Marshall Rd Bhsi Llc Suite 250, Shakopee MN 55379-2666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Erickson, Susan Lee can be contacted via phone (651) 769-6500.Contact Information
Primary practice address
327 S Marshall Rd Bhsi Llc Suite 250
Shakopee MN 55379-2666
Phone: (651) 769-6500
Fax: (651) 769-6549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 37115 | Minnesota |
Profile Details
| NPI number | 1669555843 |
|---|---|
| LBN Legal business name | Erickson, Susan Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Aug 12th, 2011 - about 13 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 | 1669555843 | NPPES |
| Minnesota | MEDICAID | 695326300 |
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