| Lew A. Erickson, Ltd | |
|
1013 3rd St Ne, Roseau, MN 56751-1209 | |
| (218) 463-3880 | |
| (218) 463-2854 |
| Full Name | Lew A. Erickson, Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1013 3rd St Ne, Roseau, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982886024 | NPI | - | NPPES |
| 4490088000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1723 (Minnesota) | Primary |
| Provider Name | Matthew L Erickson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669610416 PECOS PAC ID: 5799832911 Enrollment ID: I20090403000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Lew A. Erickson, Ltd 1013 3rd St Ne, Roseau, MN 56751-1209 Ph: (218) 463-3880 | Lew A. Erickson, Ltd 1013 3rd St Ne, Roseau, MN 56751-1209 Ph: (218) 463-3880 |
Jack Victor Lundbohm, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 317 2nd St Nw Ste A, Roseau, MN 56751 Phone: 218-463-2992 Fax: 218-463-1229 | |
Dr. Matthew Lew Erickson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1013 3rd St Ne, Roseau, MN 56751 Phone: 218-463-3880 Fax: 218-463-2854 |