Kelly, Erica B
Kelly, Erica B is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kelly, Erica B can be contacted via phone (409) 772-2222.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-5302
Phone: (409) 772-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | L2366 | Texas |
Profile Details
| NPI number | 1578505962 |
|---|---|
| LBN Legal business name | Kelly, Erica B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 23rd, 2012 - about 13 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 | 1578505962 | NPPES |
| Texas | MEDICAID | 148488301 |
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