Erickson Mobility

LBN: Erickson Auto Trim, Inc.
Erickson Mobility is an health care organization with primary practice located at 2210 Lathrop Ave , Racine WI 53405-4137. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Erickson Auto Trim, Inc. can be contacted via phone (262) 554-1202, or through Kudina, Kelly E via phone (262) 554-1202.

Contact Information

Primary practice address
2210 Lathrop Ave Racine WI 53405-4137
Phone: (262) 554-1202
Fax: (262) 554-9232
Website:
Map and Directions
Authorized official contact:
Name: Kudina, Kelly E
Phone: (262) 554-1202

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1265500771
LBN Legal business name Erickson Auto Trim, Inc.
DBA Doing business as Erickson Mobility
Authorized official Kudina, Kelly E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 18th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265500771 NPPES
Wisconsin MEDICAID 41565000

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