Healthcare Provider Details

I. General information

NPI: 1528732260
Provider Name (Legal Business Name): ERIE SPINE & PAIN CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 SIGSBEE ST
ERIE PA
16508-1721
US

IV. Provider business mailing address

2620 SIGSBEE ST
ERIE PA
16508-1721
US

V. Phone/Fax

Practice location:
  • Phone: 814-454-4599
  • Fax:
Mailing address:
  • Phone: 814-454-4599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS WILKINS
Title or Position: MD
Credential: MD
Phone: 814-454-4599