Erickson, Bethany A
Erickson, Bethany A is an sole proprietor health care provider with primary practice located at 2600 Gateway Ave. Suite 2, Bismarck ND 58503. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Erickson, Bethany A can be contacted via phone (701) 751-1161.Contact Information
Primary practice address
2600 Gateway Ave. Suite 2
Bismarck ND 58503
Phone: (701) 751-1161
Fax: (701) 751-1332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 790 | North Dakota |
Profile Details
| NPI number | 1700912672 |
|---|---|
| LBN Legal business name | Erickson, Bethany A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Mar 11th, 2010 - about 14 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 | 1700912672 | NPPES |
| North Dakota | MEDICAID | 14734 |
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