Erickson, Thomas Ryan

Erickson, Thomas Ryan is an individual health care provider with primary practice located at 3955 56Th St S Ste D , Fargo ND 58104-4845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Thomas Ryan can be contacted via phone (701) 417-7500.

Contact Information

Primary practice address
3955 56Th St S Ste D Fargo ND 58104-4845
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11018173A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01080336A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15946 North Dakota

Profile Details

NPI number 1871975490
LBN Legal business name Erickson, Thomas Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Jun 6th, 2025 - about last year

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 1871975490 NPPES
Indiana MEDICAID 300014890

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