Individual provider · NPI-1

Neil Louis Erickson, DC DABCO CCSP

Chiropractor, Orthopedic · Providence, UT

NPI number1801832241
StatusActive
Last updated in NPPESMay 20, 2020

Details

NPI
1801832241
Entity type
Individual (NPI-1)
Name
Neil Louis Erickson
Credential
DC DABCO CCSP
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2006
Certification date
May 20, 2020
Last updated
May 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NX0800X Chiropractor, Orthopedic83-169476-1202UTYes

Practice location

169 N Gateway Dr Ste 223
Providence, UT 84332-9856

Phone 435-752-2772 · Fax 435-752-2878

Mailing address

169 N Gateway Dr Ste 223
Providence, UT 84332-9856

Phone 435-752-2772 · Fax 435-752-2878

Other practice locations

95 West Golf Course Road
Suite 104
Logan, UT 84321-5402

Phone 435-752-2772 · Fax 435-752-2878

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