Provider Demographics
NPI:1609153071
Name:BURTON, ERIN E (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:BURTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 E OREGON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9299
Mailing Address - Country:US
Mailing Address - Phone:717-569-7670
Mailing Address - Fax:717-581-3896
Practice Address - Street 1:1143 E OREGON RD STE 101
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9299
Practice Address - Country:US
Practice Address - Phone:717-569-7670
Practice Address - Fax:717-581-3896
Is Sole Proprietor?:No
Enumeration Date:2011-11-13
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA055315363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231796Medicare PIN