Erichson, Thomas Michael

Erichson, Thomas Michael is an sole proprietor health care provider with primary practice located at 1 Bushwick Rd Ste B Lagrange Professional Building, Poughkeepsie NY 12603-3839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Erichson, Thomas Michael can be contacted via phone (845) 471-1147.

Contact Information

Primary practice address
1 Bushwick Rd Ste B Lagrange Professional Building Poughkeepsie NY 12603-3839
Phone: (845) 471-1147
Fax: (845) 473-1849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004036 New York

Profile Details

NPI number 1356337471
LBN Legal business name Erichson, Thomas Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Apr 27th, 2010 - about 16 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 1356337471 NPPES
New York Other 2C9390 HEALTHNET PROV #
New York Other 141816850 HEALTHNET PROV #
New York Other 2218214 HEALTHNET PROV #
New York Other C37061 HEALTHNET PROV #
New York Other P1954861 HEALTHNET PROV #
New York Other 10034123 GRP6170 HEALTHNET PROV #
New York Other 597024 HEALTHNET PROV #

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