Erickson, Todd A.
Erickson, Todd A. is an sole proprietor health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368-2443. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Erickson, Todd A. can be contacted via phone (360) 385-2200.Contact Information
Primary practice address
834 Sheridan St
Port Townsend WA 98368-2443
Phone: (360) 385-2200
Fax: (360) 379-2250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30007642 | Washington |
Profile Details
NPI number | 1952455503 |
---|---|
LBN Legal business name | Erickson, Todd A. |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 22nd, 2007 |
Last updated | Sep 10th, 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 | 1952455503 | NPPES |
Washington | Other | 24081U | REGENCE PIN |
Washington | MEDICAID | 9651969 | REGENCE PIN |
Washington | Other | 0217755 | REGENCE PIN |
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