Erickson, Mark R
Erickson, Mark R is an individual health care provider with primary practice located at 161 W Wisconsin Ave , Pewaukee WI 53072-3467. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Erickson, Mark R can be contacted via phone (262) 349-8424.Contact Information
Primary practice address
161 W Wisconsin Ave
Pewaukee WI 53072-3467
Phone: (262) 349-8424
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors | 2251H1300X | 2755-024 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 2755-024 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2755-024 | Wisconsin |
Profile Details
NPI number | 1225325111 |
---|---|
LBN Legal business name | Erickson, Mark R |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2011 |
Last updated | Jun 30th, 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.
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