Robert Henry Ericson in S Chatham - Clinical
Robert Henry Ericson - NPI 1710033543
Robert Henry Ericson is a Clinical in S Chatham, Massachusetts. Robert Henry Ericson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Henry Ericson is 1710033543. The last update date is 2007-07-08.
Robert Henry Ericson's current location address is 2642 Main St, S Chatham, Massachusetts. You can contact this provider via phone number 5084308230 and fax number 5084308230. The mailing address for Robert Henry Ericson is 2642 Main St, S Chatham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Henry Ericson |
|---|---|
| Address | 2642 Main St, S Chatham, Massachusetts |
| Phone Number | 5084308230 |
| Fax Number | 5084308230 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710033543 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2642 Main St |
|---|---|
| City | S Chatham |
| State | Massachusetts (MA) |
| Post Code | 2659 |
| Phone Number | 5084308230 |
| Fax Number | 5084308230 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1016687 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16687 | MA | TUFTS | |
| P04805 | MA | BCBS | |
| 4343911901 | MA | HP PACIFICARE | |
| 254713 | MA | MBC HMO BLUE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Henry Ericson by the Centers for Medicare & Medicaid Services?
The Robert Henry Ericson has been issued the NPI (National Provider Identifier) 1710033543 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert Henry Ericson is physically located?
The Robert Henry Ericson is physically situated at the following address: 2642 Main St, S Chatham, MA, 2659.
What is Robert Henry Ericson's area of expertise and its corresponding taxonomy classification?
The Robert Henry Ericson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710033543 to Robert Henry Ericson?
The Robert Henry Ericson received its 1710033543 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the Robert Henry Ericson's information last updated?
The Robert Henry Ericson's information was last updated on 2007-07-08.
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