Ervin, Ericka Kathleen

Ervin, Ericka Kathleen is an individual health care provider with primary practice located at 325 Ridgehaven Pl , Richardson TX 75080-2537. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ervin, Ericka Kathleen can be contacted via phone (214) 616-2932.

Contact Information

Primary practice address
325 Ridgehaven Pl Richardson TX 75080-2537
Phone: (214) 616-2932
Fax: (972) 637-9270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1136505 Texas

Profile Details

NPI number 1780778316
LBN Legal business name Ervin, Ericka Kathleen
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 10th, 2021 - about 4 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 1780778316 NPPES
Texas Other 8T6079 BLUECROSS BLUESHIELD
Texas MEDICAID 0632531-06 BLUECROSS BLUESHIELD

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