Organization
ERICKSON INSURANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG S ERICKSON (AGENT)
(515) 999-2290
Entity
Organization
Contact information
Practice address
2206 BROADWAY ST, 235, GRANGER, IA 50109-7716
(515) 999-2290
(515) 999-2628
Mailing address
2206 BROADWAY ST, P O BOX 235, GRANGER, IA 50109-7716
(515) 999-2290
(515) 999-2628
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
225440
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225440
IOWA INSURANCE LICENSE
IA
Enumeration date
10/16/2013
Last updated
10/16/2013
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