Provider Demographics
NPI:1114091451
Name:MORSE, ERWIN L (PA)
Entity Type:Individual
Prefix:MR
First Name:ERWIN
Middle Name:L
Last Name:MORSE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:MR
Other - First Name:EARL
Other - Middle Name:L
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15 MEDICAL CENTER LOOP
Mailing Address - Street 2:
Mailing Address - City:VINALHAVEN
Mailing Address - State:ME
Mailing Address - Zip Code:04863-4119
Mailing Address - Country:US
Mailing Address - Phone:207-863-4341
Mailing Address - Fax:207-863-9358
Practice Address - Street 1:15 MEDICAL CENTER LOOP
Practice Address - Street 2:
Practice Address - City:VINALHAVEN
Practice Address - State:ME
Practice Address - Zip Code:04863-4119
Practice Address - Country:US
Practice Address - Phone:207-863-4341
Practice Address - Fax:207-863-9358
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA346363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical