Ericson, Justin
Ericson, Justin is an individual health care provider with primary practice located at 2727 Leo Harris Pkwy , Eugene OR 97401-8835. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Ericson, Justin can be contacted via phone (547) 346-5304.Contact Information
Primary practice address
2727 Leo Harris Pkwy
Eugene OR 97401-8835
Phone: (547) 346-5304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Oregon |
Profile Details
| NPI number | 1710015573 |
|---|---|
| LBN Legal business name | Ericson, Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 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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