Ericksen, Todd D
Ericksen, Todd D is an sole proprietor health care provider with primary practice located at 25147 County Road 17 , Winona MN 55987-5497. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Ericksen, Todd D can be contacted via phone (507) 454-1247.Contact Information
Primary practice address
25147 County Road 17
Winona MN 55987-5497
Phone: (507) 454-1247
Fax: (507) 452-3422
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 5013 | Minnesota |
Profile Details
NPI number | 1982600706 |
---|---|
LBN Legal business name | Ericksen, Todd D |
Credentials | MA, CCC-A |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982600706 | NPPES |
Minnesota | Other | 181195 | UCARE |
Minnesota | Other | 70G55ER | UCARE |
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