Kerwin, Edward
Kerwin, Edward is an individual health care provider with primary practice located at 3860 Crater Lake Ave , Medford OR 97504-9741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kerwin, Edward can be contacted via phone (541) 858-1003.Contact Information
Primary practice address
3860 Crater Lake Ave
Medford OR 97504-9741
Phone: (541) 858-1003
Fax: (541) 858-1091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | MD18405 | Oregon |
Profile Details
| NPI number | 1568465847 |
|---|---|
| LBN Legal business name | Kerwin, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jul 10th, 2020 - about 4 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 | 1568465847 | NPPES |
| Oregon | MEDICAID | 056700 |
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