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
Phone: (603) 356-9355
Fax: (603) 356-8843
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508907320 | NPPES |
Massachusetts | MEDICAID | 0364631 | |
Massachusetts | MEDICAID | 30462788 |
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