Provider Demographics
NPI:1922134188
Name:RAML, ERIK MICHAEL (MA-CCC-A)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:MICHAEL
Last Name:RAML
Suffix:
Gender:M
Credentials:MA-CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 COTTONTAIL LANE
Mailing Address - Street 2:ATT: CREDENTIALING
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5125
Mailing Address - Country:US
Mailing Address - Phone:732-529-7120
Mailing Address - Fax:207-226-2064
Practice Address - Street 1:1200 HIGHWAY 25 N
Practice Address - Street 2:SUITE 103
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-2930
Practice Address - Country:US
Practice Address - Phone:763-682-6969
Practice Address - Fax:800-642-2136
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7873231HA2400X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
640000282Medicare ID - Type Unspecified