Agnew, Erika M.

Agnew, Erika M. is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 101B , Lutz FL 33558-8005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Agnew, Erika M. can be contacted via phone (813) 960-4026.

Contact Information

Primary practice address
4211 Van Dyke Rd Ste 101B Lutz FL 33558-8005
Phone: (813) 960-4026
Fax: (813) 443-8166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS019347 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS16565 Florida

Profile Details

NPI number 1427445030
LBN Legal business name Agnew, Erika M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated Mar 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427445030 NPPES
Florida MEDICAID 105741500

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