Organization
P & J HOLDINGS, INC
Active
Other names
Erickson Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL GARY ERICKSON DC (CEO)
(952) 758-4739
Entity
Organization
Contact information
Practice address
314 MAIN ST E, SUITE 2, NEW PRAGUE, MN 56071-2448
(952) 758-4739
(952) 758-8047
Mailing address
314 MAIN ST E, SUITE 2, NEW PRAGUE, MN 56071-2448
(952) 758-4739
(952) 758-8047
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003565
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02B34RI
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
135518000
—
MN
Enumeration date
10/16/2006
Last updated
07/17/2008
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