Ericson, Sean

Ericson, Sean is an sole proprietor health care provider with primary practice located at 1504 Sioux Dr , Marion IL 62959-5209. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ericson, Sean can be contacted via phone (618) 997-0127.

Contact Information

Primary practice address
1504 Sioux Dr Marion IL 62959-5209
Phone: (618) 997-0127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.029659 Illinois

Profile Details

NPI number 1265860233
LBN Legal business name Ericson, Sean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2013
Last updated Oct 29th, 2013 - about 11 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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