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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN ERICKSON

Active Sole Proprietor

JORDAN ERICKSON is a Van Provider healthcare provider located in RAPID CITY, South Dakota. NPI 1932899507 is currently active in the NPPES registry. Verify at CMS.

Van Provider · RAPID CITY, SD

Registration Details

NPI Number
1932899507
Provider Type
Individual
Gender
Male
NPI Issued
May 8, 2023 (3.2651997735541 yrs)
Last Updated
May 8, 2023
License
157860013 (SD)
Sole Proprietor
Yes

Practice Information

Address
707 ALLEN AVE
RAPID CITY, SD, 577011106
Browse SD providers · Browse ZIP 57701
Phone
6059817052
Primary Specialty
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.