Erickson, Keith P.
Erickson, Keith P. is an individual health care provider with primary practice located at 11603 State Ave Suite G, Marysville WA 98271-8465. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Erickson, Keith P. can be contacted via phone (360) 653-6500.Contact Information
Primary practice address
11603 State Ave Suite G
Marysville WA 98271-8465
Phone: (360) 653-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3034 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1225009061 |
|---|---|
| LBN Legal business name | Erickson, Keith P. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | May 18th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225009061 | NPPES |
| Washington | Other | 263798 | LABOR & INDUSTRIES |
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