NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

JOHN A ERVIN III, PAC – NPI #1588757736
Medical


Contact Information

JOHN A ERVIN III, PAC
200 HAWKINS DR
IOWA CITY, IA52242-1009
 Phone: 319-353-6360
 Fax: 319-353-7006
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Medical

363AM0700X
Indicates primary specialty
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NPI Information for JOHN A ERVIN III · (Male)

NPI Number 1588757736
Credentials PAC
Entity Individual
Enumeration date 10/02/2006
Last updated 04/24/2013 - More than a year ago
Sole proprietor 1 No
Identifiers
IA License # 001392
IA Medicare (Unspecified) I18607
IA Medicare PIN I1421024
Medicare UPIN P88638
IA Other 27884 WELLMARK BCBS
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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