Gerlach, Marie Ellen

Gerlach, Marie Ellen is an individual health care provider with primary practice located at 26740 Towne Centre Dr , Foothill Ranch CA 92610-2839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gerlach, Marie Ellen can be contacted via phone (949) 588-9293.

Contact Information

Primary practice address
26740 Towne Centre Dr Foothill Ranch CA 92610-2839
Phone: (949) 588-9293
Fax: (949) 588-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18155 California

Profile Details

NPI number 1396016093
LBN Legal business name Gerlach, Marie Ellen
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Sep 12th, 2017 - about 8 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 1396016093 NPPES
California Other PA18155 MEDICAL LICENSE
California Other PENDING MEDICAL LICENSE

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