Anthony, Ervin

Anthony, Ervin is an individual health care provider with primary practice located at 10980 Buckley Hall Road Building #5, Mathews VA 23109-2310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anthony, Ervin can be contacted via phone (804) 725-9191.

Contact Information

Primary practice address
10980 Buckley Hall Road Building #5 Mathews VA 23109-2310
Phone: (804) 725-9191
Fax: (804) 725-9120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME53345 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101034362 Virginia

Profile Details

NPI number 1114920253
LBN Legal business name Anthony, Ervin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 31st, 2019 - about 5 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 1114920253 NPPES
Florida MEDICAID 049567100
Florida MEDICAID 1114920253

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