Provider Demographics
NPI:1720079080
Name:JERLIN, ERIN A (DPM)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:A
Last Name:JERLIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 BATTLEFIELD BLVD S
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-6611
Mailing Address - Country:US
Mailing Address - Phone:757-389-7367
Mailing Address - Fax:757-389-7371
Practice Address - Street 1:808 BATTLEFIELD BLVD S
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-6611
Practice Address - Country:US
Practice Address - Phone:757-389-7367
Practice Address - Fax:757-389-7371
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300919213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC05501Medicare UPIN
VA019142V01Medicare PIN