Erickson, Chad Wayne

Erickson, Chad Wayne is an sole proprietor health care provider with primary practice located at 2601 C Ave , Fort Lee VA 23801-1717. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Erickson, Chad Wayne can be contacted via phone (435) 764-5125.

Contact Information

Primary practice address
2601 C Ave Fort Lee VA 23801-1717
Phone: (435) 764-5125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401413421 Virginia

Profile Details

NPI number 1528335973
LBN Legal business name Erickson, Chad Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2011
Last updated Mar 25th, 2014 - about 12 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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