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DR. CARL BOYER ERMSHAR M.D.
>> Otolaryngology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1982799292
Individual Registrant:DR. CARL BOYER ERMSHAR M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
6 WOODLAND RD STE 302 SAINT HELENA, CA 94574-9501 US
Tel: 707-963-8860 Fax: 707-963-8861
Tel: 707-963-8860 Fax: 707-963-8861
Contact information for business:
1001 ADAMS ST STE 102 SAINT HELENA, CA 94574-1180 US
Tel: 707-968-2863 Fax: 707-963-9185
Tel: 707-968-2863 Fax: 707-963-9185
Registration Information:
NPI: 1982799292
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Y00000X | Allopathic & Osteopathic Physicians Otolaryngology | CA | G17012 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TRICARE | B005 | 01 | |
| RAILROAD MEDICARE | CJ8786 | 01 | |
| BLUE SHIELD | ZZZ61447Z | CA | 01 |
| RAILROAD MEDICARE | CJ8787 | 01 | |
| RAILROAD MEDICARE | 040017107 | 01 | |
| 00G170120 | CA | 05 | |
| RAILROAD MEDICARE | 040017103 | 01 | |
| GR0088300 | CA | 05 | |
| BLUE SHIELD | ZZZ56084Z | CA | 01 |
