Ermolovich, Tanya
Ermolovich, Tanya is an individual health care provider with primary practice located at 1259 S Cedar Crest Blvd Ste 100 , Allentown PA 18103-6373. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Ermolovich, Tanya can be contacted via phone (610) 437-4134.Contact Information
Primary practice address
1259 S Cedar Crest Blvd Ste 100
Allentown PA 18103-6373
Phone: (610) 437-4134
Fax: (610) 433-9690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | OS009218L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS009218L | Pennsylvania |
Profile Details
| NPI number | 1881681971 |
|---|---|
| LBN Legal business name | Ermolovich, Tanya |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 27th, 2023 - about last year |
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 | 1881681971 | NPPES |
| Pennsylvania | Other | 172424 | HIGHMARK |
| Pennsylvania | Other | 02343000 | HIGHMARK |
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