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LEW A. ERICKSON LTD NPI 1982886024


NPI Information

NPI: 1982886024
Provider Name: LEW A. ERICKSON, LTD

Doing Business As: FAMILY CHIROPRACTIC CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D2057661

Address:
1013 3RD ST NE
ROSEAU, MN
ZIP 56751
Phone: (218) 463-3880
Get Directions

LEW A. ERICKSON, LTD is a chiropractor in Roseau, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LEW A. ERICKSON, LTD NPI is 1982886024. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Chiropractic Center.

The provider's business location address is:

1013 3RD ST NE
ROSEAU, MN
ZIP 56751-209
Phone: (218) 463-3880
Fax: (218) 463-2854

The provider's authorized official is Lew A. Erickson .
The authorized official title is Owner/doctor Of Chiropractic and has the following contact phone number (218) 463-3880.

The CLIA number assigned to this NPI record is 24D2057661 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.


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
1111N00000XChiropractor1723MINNESOTAYes

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
14490088000MEDICAIDMINNESOTA
2T65493MEDICARE UPINMINNESOTA

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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