Eriksen, Scott
Eriksen, Scott is an individual health care provider with primary practice located at 500 Arcade Ave Ste 400 , Elkhart IN 46514-2487. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Eriksen, Scott can be contacted via phone (574) 522-2284.Contact Information
Primary practice address
500 Arcade Ave Ste 400
Elkhart IN 46514-2487
Phone: (574) 522-2284
Fax: (574) 522-3952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71005853A | Indiana |
Profile Details
| NPI number | 1346611704 |
|---|---|
| LBN Legal business name | Eriksen, Scott |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2015 |
| Last updated | Apr 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346611704 | NPPES |
| Indiana | MEDICAID | 201328150 |
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