P & J Holdings, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003565 Issued in MN

Legal business name

P & J HOLDINGS, INC

Doing business as

Erickson Family Chiropractic

Practice address

314 Main St E
Suite 2
New Prague, MN 56071-2448

Phone

(952) 758-4739

Fax

(952) 758-8047

NPI assigned

Oct 16, 2006

Last updated

Jul 17, 2008By 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

Dr. Joel Gary Erickson, DC

Title

Ceo

Phone

(952) 758-4739

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Erickson Family Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1982794129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MAIN ST E",
            "address_2": "SUITE 2",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-4739",
            "fax_number": "952-758-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST E",
            "address_2": "SUITE 2",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-4739",
            "fax_number": "952-758-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & J HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-758-4739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135518000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "02B34RI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in New Prague, MN
• Providers in New Prague, MN by specialty
• Chiropractor in Minnesota

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