Provider Demographics
NPI:1427375195
Name:BARBARA ERLANDSON LRD PLLC
Entity Type:Organization
Organization Name:BARBARA ERLANDSON LRD PLLC
Other - Org Name:BARBARA ERLANDSON
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:HUEBNER
Authorized Official - Last Name:ERLANDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LRD CDE
Authorized Official - Phone:701-742-3340
Mailing Address - Street 1:7890 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474-9734
Mailing Address - Country:US
Mailing Address - Phone:701-742-3340
Mailing Address - Fax:
Practice Address - Street 1:7890 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-9734
Practice Address - Country:US
Practice Address - Phone:701-742-3340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND37261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09620144Other174400000X - SPECIALIST
ND18278Medicare UPIN