Erwin, Carol L
Erwin, Carol L is an individual health care provider with primary practice located at 1623 Rogers Ave , Fort Smith AR 72901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Erwin, Carol L can be contacted via phone (479) 782-6318.Contact Information
Primary practice address
1623 Rogers Ave
Fort Smith AR 72901
Phone: (479) 782-6318
Fax: (479) 782-7028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A003315 | Arkansas |
Profile Details
| NPI number | 1750381489 |
|---|---|
| LBN Legal business name | Erwin, Carol L |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 8th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750381489 | NPPES |
| Florida | MEDICAID | 303531000 |
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