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Contact Information

PAUL N ERCKMAN MD
1307B EAST FRANKLIN ST
MONROE, NC28112
 Phone: 704-289-2556
 Fax: 704-282-1282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PAUL N ERCKMAN MD

NPI # 1184677635
LBN Legal business name PAUL N ERCKMAN MD
Authorized official PAUL ERCKMAN - (OWNER PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 08/01/2008 - About 18 years ago
Identifiers
NC License # 16277
NC Medicaid 8930740
NC Other 4491873 AETNA
NC Other 30740 BLUE CROSS BLUE SHIELD
NC Other 249124 MAMSI
SC Other N16277 SC MEDICAID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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