Erly, William

Erly, William is an individual health care provider with primary practice located at 1819 W Watrous Ave , Tampa FL 33606-3042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Erly, William can be contacted via phone (813) 745-7365.

Contact Information

Primary practice address
1819 W Watrous Ave Tampa FL 33606-3042
Fax: (813) 449-8618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20049 Arizona

Profile Details

NPI number 1891768768
LBN Legal business name Erly, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Feb 5th, 2024 - about 10 months 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 1891768768 NPPES
Arizona Other 300033334 RR MEDICARE

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