Individual
MR. ALAN STEVEN ERICKSEN
Active
Individual
MR. ALAN STEVEN ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509265
MEDICAID - MTI
TN
05
—
1509265
—
TN
05
—
3335347
—
TN
05
—
3882323
—
TN
01
—
4114096
BCBS
TN
01
—
4200472
BCBS TN
TN
01
—
4291466
BCBS - MTI
TN
01
—
64122591
KY MEDICAID
KY
Enumeration date
05/24/2006
Last updated
11/30/2011
Update your record
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