Erwin, Stanton A

Erwin, Stanton A is an individual health care provider with primary practice located at 316 Mlk Jr Wy Ste 305, Tacoma WA 98405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Erwin, Stanton A can be contacted via phone (253) 428-0205.

Contact Information

Primary practice address
316 Mlk Jr Wy Ste 305 Tacoma WA 98405
Fax: (253) 272-4765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00028363 Washington

Profile Details

NPI number 1134217102
LBN Legal business name Erwin, Stanton A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 8th, 2011 - about 15 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 1134217102 NPPES
Washington MEDICAID 1064583

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