Ericksen, Michael Lewis

Ericksen, Michael Lewis is an individual health care provider with primary practice located at 6900 Pecos Rd , North Las Vegas NV 89086-4400. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ericksen, Michael Lewis can be contacted via phone (702) 791-9000.

Contact Information

Primary practice address
6900 Pecos Rd North Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302024685 Michigan

Profile Details

NPI number 1760675029
LBN Legal business name Ericksen, Michael Lewis
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Mar 30th, 2016 - about 10 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 1760675029 NPPES
Michigan Other 5302024685 PHARMACIST

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