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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982600706 NPPES
Minnesota Other 181195 UCARE
Minnesota Other 70G55ER UCARE

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