Erickson, Jacob L

Erickson, Jacob L is an individual health care provider with primary practice located at 191 Theater Rd , Onalaska WI 54650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Erickson, Jacob L can be contacted via phone (608) 785-0940.

Contact Information

Primary practice address
191 Theater Rd Onalaska WI 54650
Phone: (608) 785-0940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55271 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64193 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 64193 Wisconsin

Profile Details

NPI number 1861787814
LBN Legal business name Erickson, Jacob L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2011
Last updated Jun 15th, 2022 - about 2 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.

Request for update

Popular Providers