Individual
ERIK J RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1728 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
(336) 768-3666
(336) 768-3468
Mailing address
1728 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
(336) 768-3666
(336) 768-3468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702982
—
NC
05
—
7795099
—
NC
Enumeration date
04/04/2007
Last updated
03/12/2014
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