Erickson Auto Trim, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ERICKSON AUTO TRIM, INC

Doing business as

Erickson Mobility

Practice address

644 Valley Rd
Menasha, WI 54952-1018

Phone

(920) 731-7910

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By 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

Mr. Jack L Bower

Title

President

Phone

(920) 731-7910

Specialties & licenses 1

Addresses

Other names 1

• Erickson Mobility Doing business as

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1891033346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 VALLEY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521018",
            "telephone_number": "920-731-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 VALLEY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521018",
            "telephone_number": "920-731-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON AUTO TRIM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-731-7910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regan R Eberhart, LCSW
• Mai See Ehlert, COTA
• Heather Emshoff
• Kathleen Mary Endres, R.D.H
• Lisa England, M.S CCC/SLP
• Family Services of Northeast Wisconsin Inc
• Barbara Farb, NP
• Allison M Fassett, MD
• Becky L Fawley, SAC
• Julie A Feider, MSE, LPC

• Customized Equipment (DME) in Menasha, WI
• Providers in Menasha, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.