Individual
MARC EAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 451-2239
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 451-2239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00957
NC
363A00000X
Physician Assistant
014669
NY
363AM0700X
Medical Physician Assistant
Primary
MA051745
PA
Other
Enumeration date
06/12/2006
Last updated
01/31/2012
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