William B Erickson PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-003739 Issued in IL

Legal business name

WILLIAM B ERICKSON PC

Practice address

2606 Broadway Ste 1a
Rockford, IL 61108-5769

Phone

(815) 397-3744

Fax

(815) 397-7259

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Barry Erickson, DC

Title

President

Phone

(815) 397-3744

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Friel-Erickson Chiropractic Clinic Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1508914607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BROADWAY STE 1A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611085769",
            "telephone_number": "815-397-3744",
            "fax_number": "815-397-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 BROADWAY STE 1A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611085769",
            "telephone_number": "815-397-3744",
            "fax_number": "815-397-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B ERICKSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-397-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11373625",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friel-Erickson Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rashanda Will, LCPC, HHP
• William J Runne, DDS LLC
• William N. Georgis, M.D., S.C.
• Allen D Williams, MD
• Chloe Geneva Williams
• Cole Bradley Williams, PHARMD

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.