Erich, Mark

Erich, Mark is an individual health care provider with primary practice located at 631 Venning St , Mc Clellanville SC 29458-9710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Erich, Mark can be contacted via phone (843) 887-3344.

Contact Information

Primary practice address
631 Venning St Mc Clellanville SC 29458-9710
Fax: (843) 887-9811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22248 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22248 South Carolina

Profile Details

NPI number 1356420871
LBN Legal business name Erich, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Nov 20th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356420871 NPPES
South Carolina Other E552879223 MEDICARE PTAN
South Carolina Other P00946932 MEDICARE PTAN
South Carolina MEDICAID T63703 MEDICARE PTAN

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