Provider Demographics
NPI:1093751109
Name:ERDMAN, DAWN R (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:R
Last Name:ERDMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1863 W A ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-4534
Mailing Address - Country:US
Mailing Address - Phone:308-532-3536
Mailing Address - Fax:308-532-2427
Practice Address - Street 1:1863 W A ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4534
Practice Address - Country:US
Practice Address - Phone:308-532-3536
Practice Address - Fax:308-532-2427
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE99545OtherBCBS
NE10025380000Medicaid
NE10025380000Medicaid
NE99545OtherBCBS