Erhunmwunse, Gibson Iyeke

Erhunmwunse, Gibson Iyeke is an individual health care provider with primary practice located at 550 S Carlin Springs Rd , Arlington VA 22204. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Erhunmwunse, Gibson Iyeke can be contacted via phone (703) 379-7200.

Contact Information

Primary practice address
550 S Carlin Springs Rd Arlington VA 22204
Phone: (703) 379-7200
Fax: (703) 578-5524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017138050 Virginia

Profile Details

NPI number 1710080205
LBN Legal business name Erhunmwunse, Gibson Iyeke
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Sep 2nd, 2021 - about 3 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 1710080205 NPPES
Virginia Other P00260751 RR MEDICARE
Virginia MEDICAID 010239796 RR MEDICARE

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