Mark Lee Erickson in Anthony - General Practice
Mark Lee Erickson - NPI 1619937307
Mark Lee Erickson is a General Practice in Anthony, Kansas. Mark Lee Erickson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Lee Erickson is 1619937307. The last update date is 2012-08-08.
Mark Lee Erickson's current location address is 113 N Anthony Ave, Anthony, Kansas. You can contact this provider via phone number 6208423844. The mailing address for Mark Lee Erickson is 113 N Anthony Ave, Anthony, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lee Erickson |
|---|---|
| Address | 113 N Anthony Ave, Anthony, Kansas |
| Phone Number | 6208423844 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619937307 |
|---|---|
| Provider Enumeration Date | 2006-03-25 |
| Last Updated Date | 2012-08-08 |
Provider Mailing Address Detail
| Address | 113 N Anthony Ave |
|---|---|
| City | Anthony |
| State | Kansas (KS) |
| Post Code | 670032007 |
| Phone Number | 6208423844 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5629 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116666 | KS | BLUE CROSS BLUE SHIELD | |
| 4054684003 | KS | -- |
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What is the Mark Lee Erickson's 1619937307?
The Mark Lee Erickson's NPI (National Provider Identifier) Number is 1619937307. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Lee Erickson located?
The Mark Lee Erickson is located at 113 N Anthony Ave, Anthony, KS 670032007.
What is Mark Lee Erickson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Lee Erickson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Mark Lee Erickson receive the assignment of its 1619937307 from the Centers for Medicare & Medicaid Services?
The Mark Lee Erickson was issued its 1619937307 by the Centers for Medicare & Medicaid Services on 2006-03-25.
As of what date were the Mark Lee Erickson's details last updated?
The information pertaining to the Mark Lee Erickson, including its address, specialty, and other details, was most recently updated on 2012-08-08.