DR. ERICK RUSSELL ANDERSON (NPI# 1710960984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710960984 |
| Entity Type | Individual |
| Full Name | DR. ERICK RUSSELL ANDERSON |
| Credential | DC |
| Practice Address |
4976 S County Road P Poplar WI 54864-9163 |
| Mailing Address |
1516 N 9th Ave E Duluth MN 55805-1119 |
| Practice Telephone | 7153642440 |
| Practice Fax Number | 7153642504 |
| Mailing Telephone | 7153642440 |
| Mailing Fax Number | 7153642504 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2011-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4768-012 | WI | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 3803 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 068492900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922240803 | Erick Anderson | Physician Assistant | 1600 Prairie Center Pkwy, Brighton, CO 80601-4006 | 2009-03-24 |
| 1992922066 | Erick Trevor Anderson | Dentist | 3505 Austin Bluffs Pkwy, Ste 302, Colorado Springs, CO 80918-5702 | 2007-04-19 |
| Street Address |
4976 S COUNTY ROAD P |
| City | POPLAR |
| State | WI |
| Zip Code | 54864-9163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447428180 | Northwoods Family Chiropractic | Chiropractor | 4976 S Cty Rd P, Poplar, WI 54864 | 2008-02-15 |
| 1134304801 | Eve Bagan | Registered Nurse | 7619 E Rockmont Rd, S/a, Poplar, WI 54864 | 2007-12-31 |
| 1609963594 | Orthopedic & Spine Therapy of Poplar, Sc | Durable Medical Equipment & Medical Supplies | 9675 E. Elm Road, Poplar, WI 54864-9102 | 2006-10-10 |
| 1902815848 | Kerry L. Lahti | Physical Therapist | 9675 E Elm Rd, Poplar, WI 54864-9102 | 2006-08-07 |
| 1497972343 | Amy M. Kline | Physical Therapy Assistant | 9675 E Elm Rd, Poplar, WI 54864-9102 | 2007-04-20 |
| 1538170766 | Orthopedic & Spine Therapy of Poplar, Sc | Physical Therapist | 9675 E Elm Rd, Poplar, WI 54864-9102 | 2006-08-11 |
| 1184265969 | Jessica Lynn Beckman | Speech-Language Pathologist | 10465 E Us Highway 2, Poplar, WI 54864-9203 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265969 | Jessica Lynn Beckman | Speech-Language Pathologist | 10465 E Us Highway 2, Poplar, WI 54864-9203 | 2019-10-03 |
| 1861958183 | Chanel Plasek | Dental Hygienist | 400 4th Ave W, Poplar, MT 59255-9455 | 2019-02-12 |
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| Find all providers in POPLAR | ||||
| 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 |
|---|---|---|---|---|
| 1447428180 | Northwoods Family Chiropractic | Chiropractor | 4976 S Cty Rd P, Poplar, WI 54864 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERICK RUSSELL ANDERSON.
| 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.