Carlisle, Eric S

Carlisle, Eric S is an individual health care provider with primary practice located at 16237 Ventura Blvd , Encino CA 91436-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carlisle, Eric S can be contacted via phone (818) 995-5350.

Contact Information

Primary practice address
16237 Ventura Blvd Encino CA 91436-2201
Fax: (818) 995-5032
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A90140 California

Profile Details

NPI number 1235196288
LBN Legal business name Carlisle, Eric S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235196288 NPPES
California MEDICAID 00A901400

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