Tullock, Erin

Tullock, Erin is an individual health care provider with primary practice located at 3073 White Mountain Hwy , North Conway NH 03860-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tullock, Erin can be contacted via phone (603) 356-9355.

Contact Information

Primary practice address
3073 White Mountain Hwy North Conway NH 03860-7101
Fax: (603) 356-8843
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 230304 Massachusetts

Profile Details

NPI number 1508907320
LBN Legal business name Tullock, Erin
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Oct 15th, 2012 - about 13 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 1508907320 NPPES
Massachusetts MEDICAID 0364631
Massachusetts MEDICAID 30462788

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