Erdahl, Gina R
Erdahl, Gina R is an sole proprietor health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Erdahl, Gina R can be contacted via phone (760) 339-7100.Contact Information
Primary practice address
1415 Ross Ave
El Centro CA 92243-4306
Phone: (760) 339-7100
Fax: (790) 482-5180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA21561 | California |
Profile Details
| NPI number | 1801175070 |
|---|---|
| LBN Legal business name | Erdahl, Gina R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2011 |
| Last updated | Aug 5th, 2011 - about 15 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 | 1801175070 | NPPES |
| California | Other | PA21561 | PA LICENSE |
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