Ericson, Mary Melinda
Ericson, Mary Melinda is an individual health care provider with primary practice located at 3721 E Us 412 Hwy Ste B , Siloam Springs AR 72761-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ericson, Mary Melinda can be contacted via phone (479) 215-3080.Contact Information
Primary practice address
3721 E Us 412 Hwy Ste B
Siloam Springs AR 72761-3018
Phone: (479) 215-3080
Fax: (479) 549-4059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-220 | Arkansas |
Profile Details
| NPI number | 1811931397 |
|---|---|
| LBN Legal business name | Ericson, Mary Melinda |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 15th, 2019 - about 5 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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