Provider Demographics
NPI:1932133246
Name:MCKOWN, ERIN M (PA C)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:M
Last Name:MCKOWN
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:OAKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA C
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620-0151
Mailing Address - Country:US
Mailing Address - Phone:402-395-3213
Mailing Address - Fax:402-395-3173
Practice Address - Street 1:1019 SOUTH 8TH STREET
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:68620-1760
Practice Address - Country:US
Practice Address - Phone:402-395-5013
Practice Address - Fax:402-395-2327
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE927363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE233884OtherMIDLANDS CHOICE
NE276944Medicare PIN
NE233884OtherMIDLANDS CHOICE