Erickson, Jennifer

Erickson, Jennifer is an individual health care provider with primary practice located at 1772 Steiger Lake Ln , Victoria MN 55386-7723. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Erickson, Jennifer can be contacted via phone (952) 443-9888.

Contact Information

Primary practice address
1772 Steiger Lake Ln Victoria MN 55386-7723
Phone: (952) 443-9888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9241 Minnesota

Profile Details

NPI number 1346650900
LBN Legal business name Erickson, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated May 5th, 2014 - about 11 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 1346650900 NPPES
Minnesota MEDICAID 001442700
Minnesota Other 76842
Minnesota Other 1311578
Minnesota Other 169036
Minnesota Other 017J6KI
Minnesota Other 4600402
Minnesota Other 16154051
Minnesota Other 565581028804

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