Lytle, Erin Colleen
Lytle, Erin Colleen is an individual health care provider with primary practice located at 3100 Mountain Rd , Pasadena MD 21122-2018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lytle, Erin Colleen can be contacted via phone (410) 360-4446.Contact Information
Primary practice address
3100 Mountain Rd
Pasadena MD 21122-2018
Phone: (410) 360-4446
Fax: (410) 360-4449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R174779 | Maryland |
Profile Details
NPI number | 1922236801 |
---|---|
LBN Legal business name | Lytle, Erin Colleen |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2009 |
Last updated | Jul 22nd, 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 | 1922236801 | NPPES |
Other | W6420007 | BCBS DC | |
Other | W6420007 | BCBS DC | |
Other | 9807484 | BCBS DC | |
MEDICAID | 418074700 | BCBS DC | |
Other | 6225785 | BCBS DC | |
Other | 955929-01 | BCBS DC | |
Other | 95592901 | BCBS DC |
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