Erlich, David
Erlich, David is an individual health care provider with primary practice located at 413 E Florence Blvd , Casa Grande AZ 85122-4112. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Erlich, David can be contacted via phone (520) 876-5764.Contact Information
Primary practice address
413 E Florence Blvd
Casa Grande AZ 85122-4112
Phone: (520) 876-5764
Fax: (520) 876-5613
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11736 | Arizona |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12071 | Arizona |
Profile Details
NPI number | 1154573053 |
---|---|
LBN Legal business name | Erlich, David |
Credentials | LCSW & LISAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 22nd, 2008 |
Last updated | Dec 22nd, 2009 - about 15 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 | 1154573053 | NPPES |
Arizona | MEDICAID | PENDING |
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