Erickson, Caitlin

Erickson, Caitlin is an individual health care provider with primary practice located at 495 Western Ave , Brighton MA 02135-1007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Erickson, Caitlin can be contacted via phone (617) 783-0500.

Contact Information

Primary practice address
495 Western Ave Brighton MA 02135-1007
Phone: (617) 783-0500
Fax: (617) 987-8222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN1019398 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN256328 Massachusetts

Profile Details

NPI number 1205097961
LBN Legal business name Erickson, Caitlin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Oct 12th, 2015 - about 11 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 1205097961 NPPES
Connecticut MEDICAID 004236346

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