Doctor Name: | DR. ALICIA M ERICKSEN |
NPI Number: | 1013152396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 322 |
Business Practice Address: | 945 E Zero St Ainsworth, NE - 692101556 |
Business Phone Number: | 4023872067 |
Business Fax Number: | 4023870298 |
Mailing Address: | 945 E Zero St, AINSWORTH |
State: | NE |
Postal Code: | 692101556 |
Phone Number: | 4023872067 |
Fax Number: | 4023870298 |
NPI Enumeration Date: | 12/15/2008 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |