1932401692 NPI number — MARY CHRISTINE EHRMIN MSW

Table of content: MARY CHRISTINE EHRMIN MSW (NPI 1932401692)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932401692 NPI number — MARY CHRISTINE EHRMIN MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EHRMIN
Provider First Name:
MARY
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932401692
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6752
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORPUS CHRISTI
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78466-6752
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-066-6583
Provider Business Mailing Address Fax Number:
361-334-1574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6410 WEBER RD STE 11A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78413-4032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-806-6658
Provider Business Practice Location Address Fax Number:
361-334-1574
Provider Enumeration Date:
11/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SC60186599 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 65904 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2034034 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".