Van Allen, Erin Doherty

Van Allen, Erin Doherty is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Van Allen, Erin Doherty can be contacted via phone (360) 428-2586.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Phone: (360) 428-2586
Fax: (360) 428-6470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004559 Washington

Profile Details

NPI number 1558325167
LBN Legal business name Van Allen, Erin Doherty
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 22nd, 2015 - about 11 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 1558325167 NPPES
Washington MEDICAID 1013164

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