Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | G18845 | CA |
NPI | 1104841956 |
---|---|
Provider Name | Dr. Earl Herr |
First Address | Petaluma, CA 94954-2339 |
Second Address | Petaluma, CA 94954-2339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 14/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A40440 | (02) | CA |