MEDICARE: DR. STEVEN JAMES ERICKSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4100	AZ

General Provider Information

NPI Number	:	1568519171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JAMES ERICKSON D.C.

Provider Business Mailing Address
First Line	:	8996 W UNION HILLS DR
Second Line	:	SUITE 103
City	:	PEORIA
State	:	AZ
Zip	:	85382-3010
Country	:	US
Telephone Number	:	623-566-4694
Fax Number	:	623-566-6025

Provider Business Practice Location Address
First Line	:	8996 W UNION HILLS DR
Second Line	:	SUITE 103
City	:	PEORIA
State	:	AZ
Zip	:	85382-3010
Country	:	US
Telephone Number	:	623-566-4694
Fax Number	:	623-566-6025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

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