Erickson Auto Trim, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ERICKSON AUTO TRIM, INC.

Doing business as

Erickson Mobility

Practice address

2210 Lathrop Ave
Racine, WI 53405-4137

Phone

(262) 554-1202

Fax

(262) 554-9232

NPI assigned

Dec 1, 2006

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly E Kudina

Title

Owner

Phone

(262) 554-1202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erickson Mobility Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1265500771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LATHROP AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054137",
            "telephone_number": "262-554-1202",
            "fax_number": "262-554-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LATHROP AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054137",
            "telephone_number": "262-554-1202",
            "fax_number": "262-554-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON AUTO TRIM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "KUDINA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-554-1202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41565000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enhanced Medical Imaging
• Sage Enloe, PT, DPT
• Entrusted Counseling Services, LLC
• Jennifer Eppinger, APNP, CPNP-PC
• Victor Erato Jr.
• Erickson-Nelson Services, Inc (Erickson Ambulance)
• Nichole Marie Escalera, PTA
• Sonia Maria Espinoza, M.D
• Essence of a Village PNCC LLC
• Jennifer L Evancy, APSW

• Durable Medical Equipment & Medical Supplies in Racine, WI
• Providers in Racine, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.