Individual
JACOB LONNIE ERBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
430 5TH ST N, BRECKENRIDGE, MN 56520-1426
(218) 641-7725
(218) 641-6625
Mailing address
17067 COUNTY ROAD 8, COLFAX, ND 58018-9637
(701) 640-3381
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
10816
MN
225100000X
Physical Therapist
Primary
10816
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472442
—
ND
Enumeration date
08/11/2017
Last updated
12/13/2017
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