Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | ||
N | 225100000X | Physical Therapist | 2305004031 | VA |
NPI | 1366424608 |
---|---|
Provider Name | Mrs. Erin K Gerbus |
First Address | Virginia Beach, VA 23462-1116 |
Second Address | Virginia Beach, VA 23462-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007328 | ANTHEM BLUE CROSS (01) | |
11453430 | CAQH (01) | |
147627 | ANTHEM BLUE CROSS (01) | |
350034 | OPTIMA (01) | |
35062 | OPTIMA (01) | |
3611532 | AETNA (01) | |
4980093 | (05) | VA |
4980093 | VIRGINIA PREMIER HEALTH P (01) | |
5275769 | AETNA (01) | |
6400313 | UNITED HEALTH CARE (01) | |
9116460 | (05) | VA |