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DR. ANN MARIE ERNISH DC
Sports Physician >> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1023133675
Individual Registrant:DR. ANN MARIE ERNISH DC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1119A HUNT AVE SAINT HELENA, CA 94574-1119 US
Tel: 707-968-9803 Fax: 707-967-8767
Tel: 707-968-9803 Fax: 707-967-8767
Contact information for business:
1119A HUNT AVE SAINT HELENA, CA 94574-1119 US
Tel: 707-968-9803 Fax: 707-967-8767
Tel: 707-968-9803 Fax: 707-967-8767
Registration Information:
NPI: 1023133675
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Providers Chiropractor Sports Physician | CA | DC 27753 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FEDERAL ID | 04-3187894 | 01 |
