Erickson, Emily

Erickson, Emily is an individual health care provider with primary practice located at 616 W 3000 S , Driggs ID 83422-8342. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Erickson, Emily can be contacted via phone (307) 349-4332.

Contact Information

Primary practice address
616 W 3000 S Driggs ID 83422-8342
Phone: (307) 349-4332
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-873 Wyoming
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-3036 Idaho
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14082738

Profile Details

NPI number 1366818494
LBN Legal business name Erickson, Emily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Oct 26th, 2018 - about 8 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 1366818494 NPPES
Idaho MEDICAID 1366818494
Idaho Other SP-873
Idaho Other 14082738
Idaho Other SLP-3036

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