Provider Demographics
NPI:1962701987
Name:KING, ERIKA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARIE
Last Name:KING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MARIE
Other - Last Name:SIMMERMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1818 CHAPEL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1335
Mailing Address - Country:US
Mailing Address - Phone:419-420-7304
Mailing Address - Fax:419-420-7317
Practice Address - Street 1:1818 CHAPEL DR
Practice Address - Street 2:SUITE C
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1335
Practice Address - Country:US
Practice Address - Phone:419-420-7304
Practice Address - Fax:419-420-7317
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.003260363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant