Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 18225 | CA |
NPI | 1235259110 |
---|---|
Provider Name | Dr. Ernest Wayne Ferrel |
First Address | Santa Barbara, CA 93103-2200 |
Second Address | Santa Barbara, CA 93103-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |