William B Erickson Pc in Rockford - Chiropractor
William B Erickson Pc - NPI 1508914607
William B Erickson Pc is a Chiropractor in Rockford, Illinois. William B Erickson Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for William B Erickson Pc is 1508914607. The last update date is 2008-06-17.
William B Erickson Pc's current location address is 2606 Broadway Ste 1a, Rockford, Illinois. You can contact this provider via phone number 8153973744 and fax number 8153977259. The mailing address for William B Erickson Pc is 2606 Broadway Ste 1a, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William B Erickson Pc |
|---|---|
| Address | 2606 Broadway Ste 1a, Rockford, Illinois |
| Phone Number | 8153973744 |
| Fax Number | 8153977259 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Erickson Barry William |
| Credentials | DC |
| Telephone Number | 8153973744 |
NPI Number Detail
| NPI Number | 1508914607 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 2606 Broadway Ste 1a |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611085769 |
| Phone Number | 8153973744 |
| Fax Number | 8153977259 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-003739 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11373625 | IL | CAQH |
Post Comment/ Review Below
What is the William B Erickson Pc's unique identification number?
The William B Erickson Pc has been assigned the NPI (National Provider Identifier) Number 1508914607 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where William B Erickson Pc's facilities are geographically located?
The facilities of William B Erickson Pc are physically situated at the following location: 2606 Broadway Ste 1A, Rockford, IL, 611085769.
What is William B Erickson Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William B Erickson Pc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the William B Erickson Pc receive the assignment of its 1508914607 from the Centers for Medicare & Medicaid Services?
The William B Erickson Pc was issued its 1508914607 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information related to William B Erickson Pc most recently updated or refreshed?
The details pertaining to the William B Erickson Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-17.