DR. JOEL GARY ERICKSON (NPI# 1285728352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285728352 |
| Entity Type | Individual |
| Full Name | DR. JOEL GARY ERICKSON |
| Credential | DC |
| Practice Address |
314 Main St E Suite 2 New Prague MN 56071 |
| Practice Telephone | 9527584739 |
| Practice Fax Number | 9527588047 |
| Mailing Telephone | 9527584739 |
| Mailing Fax Number | 9527588047 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 00003565 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD OF MN | 02B35ER | 01 |
| MN | 135518000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197325 | Joel William Erickson | Registered Nurse | 13350 Metro Pkwy Ste 301, Fort Myers, FL 33966-4796 | 2018-03-12 |
| 1982018198 | Joel Erickson | Psychiatry & Neurology | 2801 S University Dr, Fargo, ND 58103 | 2014-06-16 |
| 1134258742 | Joel K. Erickson | Counselor | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2007-03-02 |
| 1407899479 | Joel S Erickson | Internal Medicine | 500 Doyle Park Dr, Suite 205, Santa Rosa, CA 95405-4558 | 2006-06-14 |
| 1174508501 | Joel K. Erickson | Radiology | 2000 W Commercial Blvd, Suite 115, Fort Lauderdale, FL 33309-3073 | 2005-12-08 |
| 1225023997 | Joel D Erickson | Family Medicine | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2005-09-19 |
| Street Address |
314 MAIN ST E SUITE 2 |
| City | NEW PRAGUE |
| State | MN |
| Zip Code | 56071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
| 1740537331 | Omega Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 125 West Main St, New Prague, MN 56071 | 2012-08-14 |
| 1811143936 | New Prague Dental Center | Dentist | 101 Lexington Ave S., New Prague, MN 56071 | 2008-08-08 |
| 1013083039 | Sharon L Bortscheller | Social Worker | 101 Lexington Ave South, New Prague, MN 56071 | 2006-11-28 |
| 1811082225 | Gregory Raymond Dvorak | Dentist | 136 W. Main St, New Prague, MN 56071 | 2006-10-03 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1275195737 | Mosaic Family Services, Ltd. | Counselor | 1405 East Main Street, New Prague, MN 56071 | 2019-07-05 |
| 1225396492 | Mary F Taylor | Dietitian, Registered | 301 2nd St Ne, New Prague, MN 56071 | 2012-04-25 |
| 1902093768 | John Edward Tieben | Family Medicine | 301 2nd St Ne, New Prague, MN 56071 | 2007-09-26 |
| Find all providers in zip 56071 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447701875 | Sarah L Page Chiropractic LLC | Chiropractor | 1972 Ridgedale Ave Sw, New Prague, MN 56071-4011 | 2016-10-20 |
| 1245303544 | Heather L Giesen | Chiropractor | 815 1st St Se, New Prague, MN 56071-2498 | 2006-11-16 |
| 1447341151 | Laurie Ann Reiner Hughes | Chiropractor | 201 Main St E, New Prague, MN 56071-1832 | 2006-09-27 |
| 1508318023 | Jolene Otremba | Chiropractor | 201 Main St E, New Prague, MN 56071-1832 | 2016-11-01 |
| 1730302118 | Reiner Chiropractic Clinic Pa | Chiropractor | 201 Main St E, New Prague, MN 56071-1832 | 2007-04-11 |
| 1396814257 | Jeremy Michael Tupy | Chiropractor | 201 Main St E, New Prague, MN 56071-1832 | 2006-11-07 |
| 1982794129 | P & J Holdings, Inc | Chiropractor | 314 Main St E, Suite 2, New Prague, MN 56071-2448 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW PRAGUE |
| Zip Code | 56071 |
Please comment or provide details below to improve the information on DR. JOEL GARY ERICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.