Erle, Martin
Erle, Martin is an sole proprietor health care provider with primary practice located at 25 Yearsley Mill Rd , Media PA 19063-5522. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Erle, Martin can be contacted via phone (610) 892-1296.Contact Information
Primary practice address
25 Yearsley Mill Rd
Media PA 19063-5522
Phone: (610) 892-1296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT001387A | Pennsylvania |
Profile Details
| NPI number | 1043630189 |
|---|---|
| LBN Legal business name | Erle, Martin |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Apr 16th, 2014 - about 10 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 | 1043630189 | NPPES |
| Pennsylvania | Other | PROVIDER CODE 22 | RESPIRATORY, REHABILITATIVE, & RESTORATIVE SERVICE PROVIDERS |
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