Ericson, Layla
Ericson, Layla is an individual health care provider with primary practice located at 2025 E Riverside Dr Ste 160 , Eagle ID 83616-7604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ericson, Layla can be contacted via phone (208) 900-9500.Contact Information
Primary practice address
2025 E Riverside Dr Ste 160
Eagle ID 83616-7604
Phone: (208) 900-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-2090 | Idaho |
Profile Details
| NPI number | 1285304378 |
|---|---|
| LBN Legal business name | Ericson, Layla |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2021 |
| Last updated | Apr 19th, 2022 - 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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