Erickson, Jonathan
Erickson, Jonathan is an individual health care provider with primary practice located at 1051 W Us Route 6 Suite 400, Morris IL 60450-4200. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Erickson, Jonathan can be contacted via phone (815) 942-8301.Contact Information
Primary practice address
1051 W Us Route 6 Suite 400
Morris IL 60450-4200
Phone: (815) 942-8301
Fax: (815) 942-8449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070012541 | Illinois |
Profile Details
| NPI number | 1043404866 |
|---|---|
| LBN Legal business name | Erickson, Jonathan |
| Credentials | PT, MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Apr 20th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043404866 | NPPES |
| Other | 01622333 | BLUE CROSS BLUE SHIELD ID | |
| Other | 7454077 | BLUE CROSS BLUE SHIELD ID |
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