Erickson, Tate Stephen

Erickson, Tate Stephen is an individual health care provider with primary practice located at 580 Court St , Keene NH 03431-1715. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Erickson, Tate Stephen can be contacted via phone (603) 354-5454.

Contact Information

Primary practice address
580 Court St Keene NH 03431-1715
Phone: (603) 354-5454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 298 New Hampshire

Profile Details

NPI number 1275524266
LBN Legal business name Erickson, Tate Stephen
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
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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