Organization
ERICKSON-NELSON SERVICES, INC
Active
Parent organization
ERICKSON-NELSON SERVICES, INC
Other names
ERICKSON AMBULANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERICKSON-NELSON SERVICES, INC
Authorized official
MR. ALLEN DAVID NELSON (PRES CEO)
(262) 632-5412
Entity
Organization
Contact information
Practice address
826 S MEMORIAL DR, RACINE, WI 53403-1339
(262) 632-5412
(262) 632-0532
Mailing address
826 S MEMORIAL DR, RACINE, WI 53403-1339
(262) 632-5412
(262) 632-0532
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6000405
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41320700
—
WI
Enumeration date
11/22/2006
Last updated
09/23/2008
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