Erickson, Douglas J

Erickson, Douglas J is an individual health care provider with primary practice located at 5301 Virginia Way Ste 300 , Brentwood TN 37027-7542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Erickson, Douglas J can be contacted via phone (615) 221-4474.

Contact Information

Primary practice address
5301 Virginia Way Ste 300 Brentwood TN 37027-7542
Phone: (615) 221-4474
Fax: (615) 234-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11969 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23950 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 39356 Kentucky

Profile Details

NPI number 1528169620
LBN Legal business name Erickson, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1528169620 NPPES
Tennessee Other 000000026731 TLC TENNCARE
Tennessee MEDICAID 3881727 TLC TENNCARE
Tennessee Other 146106 TLC TENNCARE
Tennessee Other 52025911003 TLC TENNCARE
Tennessee Other 4060457 TLC TENNCARE
Tennessee Other 319846 TLC TENNCARE
Tennessee MEDICAID 64070576 TLC TENNCARE

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