Individual
MR. ERWIN EDWARD FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 ARH LN STE. 201, LOW MOOR, VA 24457
(540) 444-5670
(540) 444-5669
Mailing address
209 GLEN HAVEN DR, CLIFTON FORGE, VA 24422-3527
(540) 862-4475
(540) 862-4475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110000075
VA
363A00000X
Physician Assistant
218
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538982
UMWA
VA
01
—
970011149
RAILROAD MEDICARE
VA
Enumeration date
08/30/2005
Last updated
11/13/2024
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