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:
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Health care specialties

SpecialtyCodeLicense #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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