Individual
KENT WILLIAM ERB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E 10TH ST, SHERIDAN, IN 46069-9106
(317) 758-4477
(317) 758-0936
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031231
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235900
—
IN
Enumeration date
10/23/2006
Last updated
09/28/2020
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