Erickson, Jay Roger

Erickson, Jay Roger is an individual health care provider with primary practice located at 1717 N E St Suite 439, Pensacola FL 32501-6339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Erickson, Jay Roger can be contacted via phone (850) 432-3692.

Contact Information

Primary practice address
1717 N E St Suite 439 Pensacola FL 32501-6339
Phone: (850) 432-3692
Fax: (800) 918-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0067313 Florida

Profile Details

NPI number 1932283231
LBN Legal business name Erickson, Jay Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 13th, 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 1932283231 NPPES
Florida MEDICAID 377029000
Florida MEDICAID 009505740

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