Mary J Erickson
Pediatric Emergency Physician
1 Childrens Plz
Dayton
, Ohio 45404-1898
Mary J Erickson
Pediatric Emergency Physician
1 Childrens Plz
Dayton
, Ohio 45404-1898
(937) 853-0292
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Mary J Erickson
- Po Box 751084
- Dayton, OH
- Zip : 45475-1084
- Fax : (937) 853-0292
- Phone : (937) 853-0286
Second Address
- Mary J Erickson
- 1 Childrens Plz
- Dayton, OH
- Zip : 45404-1898
- Fax : (937) 641-4410
- Phone : (937) 641-3321
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 35073493 | OH |
National Provider Identifier
| NPI | 1033270616 |
|---|---|
| Provider Name | Mary J Erickson |
| First Address | Dayton, OH 45475-1084 |
| Second Address | Dayton, OH 45404-1898 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000329156 | BCBS ANTHEM (01) | OH |
| 2132767 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.