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Contact Information

JED H ERICKSON, DPM
1818 S 10TH AVE
SUITE 250
CALDWELL, ID83605-4803
 Phone: 208-855-8588
 Fax: 208-459-8628
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JED H ERICKSON · (Male)

NPI # 1114207917
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/24/2011
Last updated 03/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P229
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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