Erol, Ersan

Erol, Ersan is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Erol, Ersan can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Phone: (608) 324-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106966 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85008357 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5180 Wisconsin

Profile Details

NPI number 1215271267
LBN Legal business name Erol, Ersan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 24th, 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 1215271267 NPPES
Florida MEDICAID 016191700

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