Erickson, Timothy D
Erickson, Timothy D is an individual health care provider with primary practice located at Presbyterian Rust Medical Center 2400 Unser Blvd Se Ste 19100, Rio Rancho NM 87124-4740. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Erickson, Timothy D can be contacted via phone (505) 823-8777.Contact Information
Primary practice address
Presbyterian Rust Medical Center 2400 Unser Blvd Se Ste 19100
Rio Rancho NM 87124-4740
Phone: (505) 823-8777
Fax: (505) 253-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2006-0017 | New Mexico |
Profile Details
| NPI number | 1447364724 |
|---|---|
| LBN Legal business name | Erickson, Timothy D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jun 18th, 2024 - about last year |
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 | 1447364724 | NPPES |
| New Mexico | Other | PA2006-0017 | MEDICAL LICENSE |
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