Provider Demographics
NPI:1134172273
Name:ERWIN, JOSEPH C (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:ERWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2114 N LINCOLN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1028
Mailing Address - Country:US
Mailing Address - Phone:402-362-5555
Mailing Address - Fax:402-362-7137
Practice Address - Street 1:2114 N LINCOLN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1028
Practice Address - Country:US
Practice Address - Phone:402-362-5555
Practice Address - Fax:402-362-7137
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2024-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE21119207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE21119OtherSTATE LICENSE NUMBER
NE271741OtherPTAN
NE41077294513Medicaid
NE41077294513Medicaid
NEG65253Medicare UPIN