Provider Demographics
NPI:1447462106
Name:OKESON, ERIK NEAL (DC)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:NEAL
Last Name:OKESON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16372 KENRICK AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-3540
Mailing Address - Country:US
Mailing Address - Phone:952-435-7017
Mailing Address - Fax:952-435-7062
Practice Address - Street 1:240 MAPLE ISLAND RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5544
Practice Address - Country:US
Practice Address - Phone:612-310-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor