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Contact Information

JAY ERICKSON, MD
1458 4TH ST MCAGCC/ MAGTFTC
7TH MARINE REGIMENTAL AID STATION
TWENTYNINE PALMS, CA92278
 Phone: 760-830-7876
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY ERICKSON · (Male)

NPI # 1447246152
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 36068
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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