Individual
MR. ERIC MARC ERLEWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
7330 FERN AVE, SHREVEPORT, LA 71105-4971
(304) 670-6965
Mailing address
101 BRADYS RIDGE RD, WELLSBURG, WV 26070-1901
(304) 670-6965
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
18982
MA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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