Timothy D Erickson in Albuquerque - Physician Assistant

Timothy D Erickson - NPI 1447364724

Timothy D Erickson is a Physician Assistant in Albuquerque, New Mexico. Timothy D Erickson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy D Erickson is 1447364724. The last update date is 2023-03-07.

Timothy D Erickson's current location address is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052723160 and fax number 5052726297. The mailing address for Timothy D Erickson is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy D Erickson
Address 2211 Lomas Blvd Ne, Albuquerque, New Mexico
Phone Number 5052723160
Fax Number 5052726297
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1447364724
Provider Enumeration Date 2006-08-17
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2211 Lomas Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 87106
Phone Number 5052723160
Fax Number 5052726297

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA2006-0017
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA2006-0017 NM MEDICAL LICENSE

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FAQs about Timothy D Erickson

What is the unique 10-digit identifier code assigned to Timothy D Erickson by the Centers for Medicare & Medicaid Services?

The Timothy D Erickson has been issued the NPI (National Provider Identifier) 1447364724 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Timothy D Erickson located?

The Timothy D Erickson is located at 2211 Lomas Blvd Ne, Albuquerque, NM 87106.

What is the area of specialization for Timothy D Erickson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Timothy D Erickson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1447364724 to Timothy D Erickson?

The Centers for Medicare & Medicaid Services assigned the 1447364724 to Timothy D Erickson on 2006-08-17.

As of what date was the information regarding Timothy D Erickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Timothy D Erickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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