Erickson, Jason M

Erickson, Jason M is an individual health care provider with primary practice located at 5705 W Old Shakopee Rd Ste 150 , Bloomington MN 55437-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Erickson, Jason M can be contacted via phone (612) 871-1145.

Contact Information

Primary practice address
5705 W Old Shakopee Rd Ste 150 Bloomington MN 55437-3126
Phone: (612) 871-1145
Fax: (612) 870-5491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 46543 Minnesota

Profile Details

NPI number 1992796676
LBN Legal business name Erickson, Jason M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated May 7th, 2020 - about 6 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 1992796676 NPPES
Other 1041176 PREFERRED ONE
Other HP42391 PREFERRED ONE
Other 2900346 PREFERRED ONE
Other 506R1ER(PL) PREFERRED ONE
Other 660954600 PREFERRED ONE
Other 131474 PREFERRED ONE
Other 2157898 PREFERRED ONE
Other 386K6ER(RC) PREFERRED ONE
Other P00147329 PREFERRED ONE

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