Erickson, Troy Dewayne
Erickson, Troy Dewayne is an individual health care provider with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Erickson, Troy Dewayne can be contacted via phone (218) 326-5000.Contact Information
Primary practice address
1601 Golf Course Rd
Grand Rapids MN 55744-8648
Phone: (218) 326-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 44961 | Minnesota |
Profile Details
NPI number | 1861568289 |
---|---|
LBN Legal business name | Erickson, Troy Dewayne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2006 |
Last updated | Dec 29th, 2015 - about 9 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 | 1861568289 | NPPES |
Minnesota | MEDICAID | 290498500 |
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