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
Phone: (843) 887-3344
Fax: (843) 887-9811
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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