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ERIE MEDICAL SPECIALTY CLINIC PC NPI 1861525263


NPI Information

NPI: 1861525263
Provider Name: ERIE MEDICAL SPECIALTY CLINIC, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
104 E 2ND ST
THIRD FLOOR
ERIE, PA
ZIP 16507
Phone: (814) 877-5564
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ERIE MEDICAL SPECIALTY CLINIC, PC is a specialist in Erie, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ERIE MEDICAL SPECIALTY CLINIC, PC NPI is 1861525263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 E 2ND ST
THIRD FLOOR
ERIE, PA
ZIP 16507-532
Phone: (814) 877-5564
Fax: (814) 877-5561

The provider's authorized official is Marybeth Martin .
The authorized official title is Manager, Clinical Assistant and has the following contact phone number (814) 877-5564.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD025800EPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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