Erdwins, Carol June
Erdwins, Carol June is an individual health care provider with primary practice located at 133 Park Street, Ne , Vienna VA 22180-4602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Erdwins, Carol June can be contacted via phone (703) 281-2657.Contact Information
Primary practice address
133 Park Street, Ne
Vienna VA 22180-4602
Phone: (703) 281-2657
Fax: (703) 242-0014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810002355 | Virginia |
Profile Details
| NPI number | 1578785093 |
|---|---|
| LBN Legal business name | Erdwins, Carol June |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578785093 | NPPES |
| Virginia | Other | 0810002355 | STATE LICENSE |
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