Erickstad, Mark A
Erickstad, Mark A is an individual health care provider with primary practice located at 401 N 9Th St , Bismarck ND 58501-4530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Erickstad, Mark A can be contacted via phone (701) 712-4500.Contact Information
Primary practice address
401 N 9Th St
Bismarck ND 58501-4530
Phone: (701) 712-4500
Fax: (701) 712-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4405 | North Dakota |
Profile Details
| NPI number | 1700824984 |
|---|---|
| LBN Legal business name | Erickstad, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | May 16th, 2023 - 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 | 1700824984 | NPPES |
| North Dakota | MEDICAID | 14057 | |
| North Dakota | Other | 110066362 |
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