Story, Erica
Story, Erica is an individual health care provider with primary practice located at 2005 State St Suite A, Washington IN 47501-8558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Story, Erica can be contacted via phone (812) 254-4650.Contact Information
Primary practice address
2005 State St Suite A
Washington IN 47501-8558
Phone: (812) 254-4650
Fax: (812) 254-1531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28182353A | Indiana |
Profile Details
| NPI number | 1689002883 |
|---|---|
| LBN Legal business name | Story, Erica |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2013 |
| Last updated | Mar 6th, 2018 - about 6 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 | 1689002883 | NPPES |
| Indiana | MEDICAID | 201199270 | |
| Indiana | Other | 000001039843 | |
| Indiana | Other | 000000917113 |
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