MEDICARE: ERICKSON FAMILY CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1720941396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERICKSON FAMILY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	3920 E INDIAN SCHOOL RD STE 16
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5257
Country	:	US
Telephone Number	:	602-956-8736
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 E INDIAN SCHOOL RD STE 16
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5257
Country	:	US
Telephone Number	:	602-956-8736
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ZACH ERICKSON
Credential	:	DC
Telephone Number	:	602-956-8736

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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