Erbstoeszer, John W

Erbstoeszer, John W is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erbstoeszer, John W can be contacted via phone (360) 428-2500.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Fax: (360) 428-6485
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00012574 Washington

Profile Details

NPI number 1720074875
LBN Legal business name Erbstoeszer, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Nov 15th, 2011 - about 13 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 1720074875 NPPES
Washington MEDICAID 1244300

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