Ericson, Jessica Erin

Ericson, Jessica Erin is an sole proprietor health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Ericson, Jessica Erin can be contacted via phone (717) 531-8349.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Phone: (717) 531-8349
Fax: (717) 531-0648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD454078 Pennsylvania

Profile Details

NPI number 1033350905
LBN Legal business name Ericson, Jessica Erin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2009
Last updated Apr 19th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033350905 NPPES
Pennsylvania MEDICAID 1030634280001

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