Ericson, Dawn A
Ericson, Dawn A is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Ericson, Dawn A can be contacted via phone (617) 355-1900.Contact Information
Primary practice address
300 Longwood Ave
Boston MA 02115-5724
Phone: (617) 355-1900
Fax: (617) 730-0084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 79039 | Massachusetts |
Profile Details
| NPI number | 1578653853 |
|---|---|
| LBN Legal business name | Ericson, Dawn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1578653853 | NPPES |
| Massachusetts | MEDICAID | 3167980 |
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