Individual
DR. DONLYN JAY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
212 W MAIN ST, BEULAH, ND 58523-6970
(701) 873-7677
(701) 873-7718
Mailing address
PO BOX 326, BEULAH, ND 58523-0326
(701) 873-7677
(701) 873-7718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
583
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029
MN LH&WF#
MN
01
—
12947
BC/BS ND
ND
05
—
18346
—
ND
01
—
350039040
RAILROAD MEDICARE
ND
01
—
51V59ER
MONTANA WORK COMP #
MT
Enumeration date
07/10/2006
Last updated
03/10/2015
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