Hericks, Mason Alexander

Hericks, Mason Alexander is an individual health care provider with primary practice located at 2606 Elderberry Blvd Ste 1 , Rapid City SD 57703-5981. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hericks, Mason Alexander can be contacted via phone (605) 737-3150.

Contact Information

Primary practice address
2606 Elderberry Blvd Ste 1 Rapid City SD 57703-5981
Phone: (605) 737-3150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D1453 South Dakota

Profile Details

NPI number 1023852175
LBN Legal business name Hericks, Mason Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 25th, 2024 - 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.

Request for update

Popular Providers