Organization
ERICKSON CHIROPRACTIC, P.C.
Active
Organization
ERICKSON CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN ERICKSON PHD, DC, BS, DACBN (PRESIDENT/OWNER)
(716) 665-6226
Entity
Organization
Contact information
Practice address
428 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2757
(716) 665-6226
(716) 665-3159
Mailing address
428 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2757
(716) 665-6226
(716) 665-3159
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56926B
MEDICARE ID
NY
Enumeration date
06/18/2015
Last updated
06/18/2015
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