Eriksen, Brenda L
Eriksen, Brenda L is an individual health care provider with primary practice located at 901 Macarthur , Munster IN 46321-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Eriksen, Brenda L can be contacted via phone (219) 836-1600.Contact Information
Primary practice address
901 Macarthur
Munster IN 46321-2901
Phone: (219) 836-1600
Fax: (219) 836-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01038352A | Indiana |
Profile Details
| NPI number | 1780679563 |
|---|---|
| LBN Legal business name | Eriksen, Brenda L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Dec 18th, 2012 - about 12 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 | 1780679563 | NPPES |
| Indiana | MEDICAID | 200047380 |
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