Provider Demographics
NPI:1508144254
Name:ERSKINE, MICHAEL C (NA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:C
Last Name:ERSKINE
Suffix:
Gender:M
Credentials:NA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27851 BRADLEY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2213
Mailing Address - Country:US
Mailing Address - Phone:951-244-9777
Mailing Address - Fax:
Practice Address - Street 1:27851 BRADLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2213
Practice Address - Country:US
Practice Address - Phone:951-244-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA253Z00000XOtherIN HOME SUPPORTIVE CARE