Individual
MR. DEREK F ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
(877) 504-3044
Mailing address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
(877) 504-3044
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A2980
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203211265
TAX ID
MS
Enumeration date
04/28/2008
Last updated
02/24/2012
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