Erwin, Mark J
Erwin, Mark J is an individual health care provider with primary practice located at 5633 N Lidgerwood St , Spokane WA 99208-1224. 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. Erwin, Mark J can be contacted via phone (509) 252-6336.Contact Information
Primary practice address
5633 N Lidgerwood St
Spokane WA 99208-1224
Phone: (509) 252-6336
Fax: (509) 252-6337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004364 | Washington |
Profile Details
| NPI number | 1881693919 |
|---|---|
| LBN Legal business name | Erwin, Mark J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Mar 30th, 2016 - about 9 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 | 1881693919 | NPPES |
| Washington | MEDICAID | 8331779 |
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