Michael Shane Erickson in Salt Lake City - Sports Medicine
Michael Shane Erickson - NPI 1295703221
Michael Shane Erickson is a Sports Medicine in Salt Lake City, Utah. Michael Shane Erickson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael Shane Erickson is 1295703221. The last update date is 2022-02-01.
Michael Shane Erickson's current location address is Po Box 25608, Salt Lake City, Utah. You can contact this provider via phone number 2063204476 and fax number 2065687043. The mailing address for Michael Shane Erickson is Po Box 25608, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shane Erickson |
|---|---|
| Address | Po Box 25608, Salt Lake City, Utah |
| Phone Number | 2063204476 |
| Fax Number | 2065687043 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295703221 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2022-02-01 |
Provider Mailing Address Detail
| Address | Po Box 25608 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841250608 |
| Phone Number | 2063204476 |
| Fax Number | 2065687043 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD00042707 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1006928 | WA | -- | |
| 8360471 | WA | -- | |
| 1295703221 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Shane Erickson by the Centers for Medicare & Medicaid Services?
The Michael Shane Erickson has been assigned the NPI (National Provider Identifier) 1295703221. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Shane Erickson is physically located?
The Michael Shane Erickson is physically situated at the following address: Po Box 25608, Salt Lake City, UT, 841250608.
What is Michael Shane Erickson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Shane Erickson's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295703221 to Michael Shane Erickson?
The Centers for Medicare & Medicaid Services assigned the 1295703221 to Michael Shane Erickson on 2006-03-08.
As of what date was the information regarding Michael Shane Erickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Shane Erickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-01.