Erickson, Scott

Erickson, Scott is an individual health care provider with primary practice located at 440 Medical Dr Suite 4, Bountiful UT 84010-4950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Scott can be contacted via phone (807) 294-8288.

Contact Information

Primary practice address
440 Medical Dr Suite 4 Bountiful UT 84010-4950
Phone: (807) 294-8288
Fax: (801) 294-8488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5836179-1205 Utah

Profile Details

NPI number 1780681775
LBN Legal business name Erickson, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 21st, 2014 - about 12 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 1780681775 NPPES
Utah MEDICAID D6126

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