Individual
DR. WILLIAM ERVIN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACEP
Contact information
Practice address
7 QUAIL RUN DR, MANAKIN SABOT, VA 23103-2615
(804) 784-4614
Mailing address
7 QUAIL RUN DR, MANAKIN SABOT, VA 23103-2615
(804) 784-4614
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101034662
VA
207P00000X
Emergency Medicine Physician
46824
KY
207P00000X
Emergency Medicine Physician
60770-20
WI
207P00000X
Emergency Medicine Physician
MD169795
OR
207P00000X
Emergency Medicine Physician
MD2013-0607
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005809967
—
VA
05
—
005810051
—
VA
05
—
005855560
—
VA
05
—
005855578
—
VA
05
—
005855594
—
VA
Enumeration date
07/17/2006
Last updated
01/03/2017
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