Ervilus, Patrick A

Ervilus, Patrick A is an sole proprietor health care provider with primary practice located at 2809 River Rd , Camden NJ 08105-4426. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ervilus, Patrick A can be contacted via phone (856) 966-8088.

Contact Information

Primary practice address
2809 River Rd Camden NJ 08105-4426
Phone: (856) 966-8088
Fax: (856) 966-8089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NN10322000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NN10322000 New Jersey

Profile Details

NPI number 1558369363
LBN Legal business name Ervilus, Patrick A
Credentials NPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Aug 4th, 2008 - about 17 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 1558369363 NPPES
New Jersey MEDICAID 7523203

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