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ERICKSON AUTO TRIM INC. NPI 1265500771


NPI Information

NPI: 1265500771
Provider Name: ERICKSON AUTO TRIM, INC.

Doing Business As: ERICKSON MOBILITY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2210 LATHROP AVE
RACINE, WI
ZIP 53405
Phone: (262) 554-1202
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ERICKSON AUTO TRIM, INC. is a durable medical equipment medical supplies in Racine, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ERICKSON AUTO TRIM, INC. NPI is 1265500771. The provider is registered as an organization entity type.
The provider Is Doing Business As Erickson Mobility.

The provider's business location address is:

2210 LATHROP AVE
RACINE, WI
ZIP 53405-137
Phone: (262) 554-1202
Fax: (262) 554-9232

The provider's authorized official is Kelly E Kudina .
The authorized official title is Owner and has the following contact phone number (262) 554-1202.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 6/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141565000MEDICAIDWISCONSIN
25279570001MEDICARE NSCWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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