Provider Demographics
NPI:1699828491
Name:MADSEN, ERIK R (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:R
Last Name:MADSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2994
Mailing Address - Country:US
Mailing Address - Phone:828-349-9249
Mailing Address - Fax:828-349-2337
Practice Address - Street 1:260 BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2994
Practice Address - Country:US
Practice Address - Phone:828-349-9248
Practice Address - Fax:828-349-2337
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556469111N00000X
NC3208111N00000X
AL2013111N00000X
FLCH10050111N00000X
GACHIR008963111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC24030281OtherMEDICARE PTIN