Erickson, Loren
Erickson, Loren is an sole proprietor health care provider with primary practice located at 1600 University Ave W Suite 19-C, Saint Paul MN 55104-3898. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Pharmacy Service Providers / Pharmacist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Erickson, Loren can be contacted via phone (651) 646-7084.Contact Information
Primary practice address
1600 University Ave W Suite 19-C
Saint Paul MN 55104-3898
Phone: (651) 646-7084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 444 | Minnesota |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 759 | Missouri |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 444 | Minnesota |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 444 | Minnesota |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 444 | Minnesota |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 759 | Missouri |
| Pharmacy Service Providers / Pharmacist | 183500000X | 113462 | Minnesota |
Profile Details
| NPI number | 1003885617 |
|---|---|
| LBN Legal business name | Erickson, Loren |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Nov 14th, 2011 - about 13 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 | 1003885617 | NPPES |
| Minnesota | MEDICAID | 564025300 |
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