Provider Demographics
NPI:1841444056
Name:ASP, ERIC PAUL (PA-C)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:PAUL
Last Name:ASP
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:333 STATE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1450
Mailing Address - Country:US
Mailing Address - Phone:814-887-7157
Mailing Address - Fax:814-877-2844
Practice Address - Street 1:18 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MT. JEWETT
Practice Address - State:PA
Practice Address - Zip Code:16740
Practice Address - Country:US
Practice Address - Phone:814-778-2298
Practice Address - Fax:814-778-7344
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2023-02-02
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Provider Licenses
StateLicense IDTaxonomies
PAMA050967363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical