Erickson, Brent

Erickson, Brent is an individual health care provider with primary practice located at 2901 Hunters Trl , Portage WI 53901-3403. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Erickson, Brent can be contacted via phone (608) 742-5518.

Contact Information

Primary practice address
2901 Hunters Trl Portage WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1521 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1783-123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 1783-123 Wisconsin

Profile Details

NPI number 1295836567
LBN Legal business name Erickson, Brent
Credentials MS, SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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