Erikson, Brad C

Erikson, Brad C is an individual health care provider with primary practice located at 2375 E. Sunnyside Rd, Ste J , Idaho Falls ID 83404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erikson, Brad C can be contacted via phone (208) 542-7060.

Contact Information

Primary practice address
2375 E. Sunnyside Rd, Ste J Idaho Falls ID 83404
Phone: (208) 542-7060
Fax: (208) 522-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-270 Idaho

Profile Details

NPI number 1164477931
LBN Legal business name Erikson, Brad C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 29th, 2018 - about 6 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 1164477931 NPPES
Idaho MEDICAID 806190400

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