Poulin, Eric D

Poulin, Eric D is an individual health care provider with primary practice located at 5900 Lake Wright Dr , Norfolk VA 23502-1871. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Poulin, Eric D can be contacted via phone (757) 466-8683.

Contact Information

Primary practice address
5900 Lake Wright Dr Norfolk VA 23502-1871
Phone: (757) 466-8683
Fax: (757) 466-8892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001720 Virginia

Profile Details

NPI number 1255337143
LBN Legal business name Poulin, Eric D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Apr 1st, 2008 - about 17 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 1255337143 NPPES
Virginia Other 10022045P OPTIMA

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