Greenwell, Erica C

Greenwell, Erica C is an individual health care provider with primary practice located at 1107 Crown Pointe Dr Ste 107 , Elizabethtown KY 42701-7280. 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. Greenwell, Erica C can be contacted via phone (270) 506-3300.

Contact Information

Primary practice address
1107 Crown Pointe Dr Ste 107 Elizabethtown KY 42701-7280
Phone: (270) 506-3300
Fax: (270) 506-2843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA874 Kentucky

Profile Details

NPI number 1346403326
LBN Legal business name Greenwell, Erica C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jun 9th, 2022 - about 3 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 1346403326 NPPES
Other 11359005 CAQH ID
MEDICAID 7100150780 CAQH ID
Other P01241187 CAQH ID

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