Active NPI
Erickson Chiropractic LLC
- Chiropractor
- Glenwood City, WI
National Provider Identifier
1750819082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ERICKSON CHIROPRACTIC LLC
- Practice address
- 107 East Oak Street
Glenwood City, WI 54013-0403 - Phone
- (715) 246-7500
- NPI assigned
- May 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Austin Erickson, DC
- Title
- Owner
- Phone
- (715) 832-3293
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
107 East Oak Street
Glenwood City, WI 54013-0403
Mailing address
PO Box 403
Glenwood City, WI 54013-0403
Phone (715) 246-7500
Other practice location 1
2863 S Prairie View Rd Ste 1
Chippewa Falls, WI 54729-3316
Phone (715) 720-9911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
107 E Oak St
Glenwood City, WI 54013
Phone (715) 246-7500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Glenwood City, WI
- NPI 1952533598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1750819082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403",
"city": "GLENWOOD CITY",
"state": "WI",
"postal_code": "540130403",
"telephone_number": "715-246-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 EAST OAK STREET",
"city": "GLENWOOD CITY",
"state": "WI",
"postal_code": "540130403",
"telephone_number": "715-246-7500"
}
],
"practiceLocations": [
{
"address_1": "2863 S Prairie View Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Chippewa Falls",
"state": "WI",
"postal_code": "547293316",
"country_code": "US",
"telephone_number": "715-720-9911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ERICKSON CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-31",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "AUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-832-3293",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood City, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.