Herrera, Erica S

Herrera, Erica S is an individual health care provider with primary practice located at 2020 N 12Th St , Grand Junction CO 81501-2914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Herrera, Erica S can be contacted via phone (970) 245-0484.

Contact Information

Primary practice address
2020 N 12Th St Grand Junction CO 81501-2914
Fax: (970) 241-2803
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2346 Colorado

Profile Details

NPI number 1679645980
LBN Legal business name Herrera, Erica S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 8th, 2007 - about 18 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 1679645980 NPPES
Colorado MEDICAID 29351324
Colorado Other 807332

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