Erickson, Michele M

Erickson, Michele M is an sole proprietor health care provider with primary practice located at 1401 33Rd St S , Fargo ND 58103-3429. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Erickson, Michele M can be contacted via phone (701) 232-5311.

Contact Information

Primary practice address
1401 33Rd St S Fargo ND 58103-3429
Phone: (701) 232-5311
Fax: (701) 232-5311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 507 North Dakota

Profile Details

NPI number 1427174267
LBN Legal business name Erickson, Michele M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 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 1427174267 NPPES
North Dakota Other 509601016599 PREFERRED ONE
North Dakota Other 026124 PREFERRED ONE
North Dakota MEDICAID 60549 PREFERRED ONE

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