| Kent James Erickson, DC | |
|
5740 Brooklyn Boulevard, 100, Brooklyn Center, MN 55429 | |
| (763) 561-4045 | |
| (763) 561-8690 |
| Full Name | Kent James Erickson |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 5740 Brooklyn Boulevard, Brooklyn Center, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740217694 | NPI | - | NPPES |
| 044727700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1884 (Minnesota) | Primary |
| Provider Name | Kent J. Erickson, D.c., Chtd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720090814 PECOS PAC ID: 6507839586 Enrollment ID: O20040817001356 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent James Erickson, DC 5740 Brooklyn Boulevard, 100, Brooklyn Center, MN 55429 Ph: (763) 561-4045 | Kent James Erickson, DC 5740 Brooklyn Boulevard, 100, Brooklyn Center, MN 55429 Ph: (763) 561-4045 |
David Joseph Lutz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5740 Brooklyn Boulevard, 100, Brooklyn Center, MN 55429 Phone: 763-561-4045 Fax: 763-561-8690 | |
Toshihide Yoshida, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3300 Bass Lake Rd, Suite 202, Brooklyn Center, MN 55429 Phone: 763-560-0187 Fax: 651-771-7382 | |
Dettling Chiropractic Rehab And Performance Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 615 66th Ave N, Brooklyn Center, MN 55430 Phone: 763-560-8980 Fax: 763-560-0611 | |
A & A Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6142 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-205-1228 Fax: 763-205-5640 | |
Dr. Robert R. Martin, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6832 Humboldt Ave N, Brooklyn Center, MN 55430 Phone: 763-560-6360 Fax: 763-560-0792 | |
Dr. Paul Jeffrey Dettling, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 615 66th Ave N, Brooklyn Center, MN 55430 Phone: 763-560-8980 | |
Verrill James Schwantes, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6500 Brooklyn Blvd, Suite 101, Brooklyn Center, MN 55429 Phone: 651-336-5862 |