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Organization
ERICKSON HOME MEDICAL EQUIPMENT LLC
Active
Organization
ERICKSON HOME MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE COLLIER (OWNER/PRESIDENT)
(715) 823-2106
Entity
Organization
Contact information
Practice address
325 N SAWYER ST, OSHKOSH, WI 54902-4252
(715) 823-2106
(715) 823-1322
Mailing address
8 S MAIN ST, CLINTONVILLE, WI 54929-1565
(715) 823-2106
(715) 823-1322
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
92-48
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41566800
—
WI
Enumeration date
07/30/2018
Last updated
07/30/2018
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