Erickson, Mark Thomas

Erickson, Mark Thomas is an individual health care provider with primary practice located at 3700 Piper St , Anchorage AK 99508-4665. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Erickson, Mark Thomas can be contacted via phone (907) 269-7152.

Contact Information

Primary practice address
3700 Piper St Anchorage AK 99508-4665
Phone: (907) 269-7152
Fax: (907) 269-7246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3995 Alaska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3995 Alaska
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 3995 Alaska

Profile Details

NPI number 1790799716
LBN Legal business name Erickson, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 7th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790799716 NPPES
Alaska MEDICAID MD96081

Popular Providers