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Contact Information

LOREN ERICKSON
1600 UNIVERSITY AVE W
SUITE 19-C
SAINT PAUL, MN55104-3898
 Phone: 651-646-7084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Pharmacist

183500000X
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LOREN ERICKSON · (Male)

NPI Number 1003885617
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2006
Last updated 11/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 113462
  • MN License # 444
  • MO License # 759
  • MN Medicaid 564025300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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