Provider Demographics
NPI:1619577715
Name:SCHLEGEL, ERIN KATHRYN (PA-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHRYN
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TIMMONS HILL DR
Mailing Address - Street 2:
Mailing Address - City:MILLSTONE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08535-9307
Mailing Address - Country:US
Mailing Address - Phone:732-618-2722
Mailing Address - Fax:
Practice Address - Street 1:14 TIMMONS HILL DR
Practice Address - Street 2:
Practice Address - City:MILLSTONE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08535-9307
Practice Address - Country:US
Practice Address - Phone:732-618-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant