Erickson, Malena Landon
Erickson, Malena Landon is an individual health care provider with primary practice located at 712 Fortino Blvd , Pueblo CO 81008-2084. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Erickson, Malena Landon can be contacted via phone (719) 542-0236.Contact Information
Primary practice address
712 Fortino Blvd
Pueblo CO 81008-2084
Phone: (719) 542-0236
Fax: (719) 542-8699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003678 | Colorado |
Profile Details
| NPI number | 1386227239 |
|---|---|
| LBN Legal business name | Erickson, Malena Landon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2021 |
| Last updated | May 25th, 2021 - about 5 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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