Shasta Ericson is a Acupuncturist in San Jose, California. Shasta Ericson practices all healthcare services and medical treatments related to Acupuncturist. The NPI Number for Shasta Ericson is 1912067521. The last update date is 2019-04-03.
Shasta Ericson's current location address is 940 Saratoga Ave Suite 104, San Jose, California. You can contact this provider via phone number 4086151995 and fax number 4086151999. The mailing address for Shasta Ericson is 940 Saratoga Ave Suite 104, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shasta Ericson |
|---|---|
| Address | 940 Saratoga Ave Suite 104, San Jose, California |
| Phone Number | 4086151995 |
| Fax Number | 4086151999 |
| Sole Proprietor | Y |
| Credentials | L.AC., D.A |
NPI Number Detail
| NPI Number | 1912067521 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2019-04-03 |
Provider Mailing Address Detail
| Address | 940 Saratoga Ave Suite 104 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95129 |
| Phone Number | 4086151995 |
| Fax Number | 4086151999 |
Provider's Primary Taxonomy Detail
| Speciality | Acupuncturist |
|---|---|
| Taxonomy | 171100000X |
| Licence No | AC5149 |
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Definition: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthes |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77041-5394 | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Shasta Ericson by the Centers for Medicare & Medicaid Services (CMS)?
The Shasta Ericson has been assigned the NPI (National Provider Identifier) 1912067521. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Shasta Ericson's facilities are geographically located?
The facilities of Shasta Ericson are physically situated at the following location: 940 Saratoga Ave Suite 104, San Jose, CA, 95129.
What is Shasta Ericson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shasta Ericson is Acupuncturist, and the taxonomy code that categorizes this field of expertise is 171100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912067521 to Shasta Ericson?
The Centers for Medicare & Medicaid Services originally issued the 1912067521 to Shasta Ericson on 2006-12-12.
When was the information related to Shasta Ericson most recently updated or refreshed?
The details pertaining to the Shasta Ericson, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-03.
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