Provider Demographics
NPI:1265984371
Name:ERICKSON, STEVEN (HIS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ERICKSON
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 HIGHWAY 55 E # 200
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-8905
Mailing Address - Country:US
Mailing Address - Phone:952-285-1427
Mailing Address - Fax:763-999-8907
Practice Address - Street 1:215 HIGHWAY 55 E # 200
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-8905
Practice Address - Country:US
Practice Address - Phone:952-285-1427
Practice Address - Fax:763-999-8907
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2800237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist