Lowe, Ericka Shelly
Lowe, Ericka Shelly is an individual health care provider with primary practice located at 660 Executive Park Ct Ste 1600 , Apopka FL 32703-6080. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Lowe, Ericka Shelly can be contacted via phone (407) 930-4496.Contact Information
Primary practice address
660 Executive Park Ct Ste 1600
Apopka FL 32703-6080
Phone: (407) 930-4496
Fax: (321) 972-2443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17256 | Florida |
| Dental Providers / Endodontics | 1223E0200X | DN17256 | Florida |
Profile Details
| NPI number | 1063636710 |
|---|---|
| LBN Legal business name | Lowe, Ericka Shelly |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 18th, 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 | 1063636710 | NPPES |
| Florida | MEDICAID | 076768900 | |
| Florida | MEDICAID | 023026500 |
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