Erickson, Kirk Wayne
Erickson, Kirk Wayne is an sole proprietor health care provider with primary practice located at 4160 Route 83 Suite 204, Long Grove IL 60047-5083. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Erickson, Kirk Wayne can be contacted via phone (847) 604-0734.Contact Information
Primary practice address
4160 Route 83 Suite 204
Long Grove IL 60047-5083
Phone: (847) 604-0734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071004736 | Illinois |
Profile Details
| NPI number | 1629346853 |
|---|---|
| LBN Legal business name | Erickson, Kirk Wayne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2011 |
| Last updated | Dec 2nd, 2011 - about 15 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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