Erickson, Mitchell D

Erickson, Mitchell D is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85395-2635. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Erickson, Mitchell D can be contacted via phone (623) 882-1500.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85395-2635
Phone: (623) 882-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2438 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2438 Arizona

Profile Details

NPI number 1073598355
LBN Legal business name Erickson, Mitchell D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Nov 14th, 2023 - about 3 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 1073598355 NPPES
Arizona MEDICAID 758013
Arizona Other AW1436
Arizona Other 3981220
Arizona Other 453051001
Arizona Other 860373636

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