Provider Demographics
NPI:1093847501
Name:ERICKSON ADVANCED CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:ERICKSON ADVANCED CHIROPRACTIC CENTER, P.C.
Other - Org Name:TURNING POINTE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-323-8833
Mailing Address - Street 1:5733 S 34TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6633
Mailing Address - Country:US
Mailing Address - Phone:402-323-8833
Mailing Address - Fax:402-323-8834
Practice Address - Street 1:5733 S 34TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6633
Practice Address - Country:US
Practice Address - Phone:402-323-8833
Practice Address - Fax:402-323-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134176449OtherNPI LINN ERICKSON, DC
187166968OtherNPI LEIF OLSON, DC
NE99503OtherBLUE SHIELD OF NE
187166968OtherNPI LEIF OLSON, DC
NEU31168Medicare UPIN
NE=========00Medicaid