Individual
RICK M ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1704 SOUTH HAWTHORNE RD, WINSTON-SALEM, NC 27103-3326
(336) 760-1333
(336) 760-9111
Mailing address
1704 SOUTH HAWTHORNE RD, WINSTON-SALEM, NC 27103-3326
(336) 760-1333
(336) 760-9111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1377
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244558
MEDICARE PTAN
—
Enumeration date
01/04/2006
Last updated
05/31/2016
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