Jack Erickson, DC | |
1565 Thomas Center Dr, Eagan, MN 55122-2642 | |
(651) 734-6959 | |
Not Available |
Full Name | Jack Erickson |
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Gender | Male |
Speciality | Chiropractor |
Location | 1565 Thomas Center Dr, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194438374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7040 (Minnesota) | Primary |
Provider Name | Life Clinic Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023296167 PECOS PAC ID: 5799934857 Enrollment ID: O20121004000421 |
Mailing Address | Practice Location Address |
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Jack Erickson, DC 19153 Enchanted Way, Farmington, MN 55024-8094 Ph: () - | Jack Erickson, DC 1565 Thomas Center Dr, Eagan, MN 55122-2642 Ph: (651) 734-6959 |
Dr. Jason Bolen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1380 Duckwood Dr, 102, Eagan, MN 55123 Phone: 651-964-1010 | |
Karin Desrocher, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1565 Cliff Rd, Suite 7, Eagan, MN 55122 Phone: 651-688-0462 Fax: 651-688-7141 | |
Ashley Ann Durand, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3324 Promenade Ave Ste 106, Eagan, MN 55121 Phone: 651-456-8776 | |
Hilltop Family Chiropractic Center Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Drive Suite 202, Eagan, MN 55123 Phone: 651-452-7141 Fax: 651-452-7255 | |
Dr. Daniel Martin Brasket, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 860 Blue Gentian Road, Eagan, MN 55122 Phone: 952-270-6535 | |
Natalie Schumacher, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4490 Erin Dr, Eagan, MN 55122 Phone: 651-209-9906 | |
Z Spine And Joint Center, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Dr, Suite 105, Eagan, MN 55123 Phone: 651-686-6686 |