1346566486 NPI number — MRS. MARIA ANTOINETTE ERICKSON PHARMD.

Table of content: MRS. MARIA ANTOINETTE ERICKSON PHARMD. (NPI 1346566486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346566486 NPI number — MRS. MARIA ANTOINETTE ERICKSON PHARMD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ERICKSON
Provider First Name:
MARIA
Provider Middle Name:
ANTOINETTE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346566486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2900 12TH AVE N
Provider Second Line Business Mailing Address:
SUITE 110W
Provider Business Mailing Address City Name:
BILLINGS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59101-7506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-671-2140
Provider Business Mailing Address Fax Number:
406-252-4078

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 12TH AVE N
Provider Second Line Business Practice Location Address:
SUITE 110W
Provider Business Practice Location Address City Name:
BILLINGS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59101-7506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-671-2140
Provider Business Practice Location Address Fax Number:
406-252-4078
Provider Enumeration Date:
04/14/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  5219 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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