Erny, Raymond Edward

Erny, Raymond Edward is an individual health care provider with primary practice located at 719 Southpoint Blvd Ste B, Petaluma CA 94954-1495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Erny, Raymond Edward can be contacted via phone (707) 778-8421.

Contact Information

Primary practice address
719 Southpoint Blvd Ste B Petaluma CA 94954-1495
Phone: (707) 778-8421
Fax: (707) 778-1702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G52583 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G52583 California

Profile Details

NPI number 1891793741
LBN Legal business name Erny, Raymond Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Feb 7th, 2012 - about 13 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 1891793741 NPPES
California Other 00G525830 BLUE SHIELD OF CALIFORNIA
California MEDICAID 00G525830 BLUE SHIELD OF CALIFORNIA
California Other 060014838 BLUE SHIELD OF CALIFORNIA

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