Ahern, Carol A

Ahern, Carol A is an individual health care provider with primary practice located at 19270 Highway 12 , Sonoma CA 95476-5414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ahern, Carol A can be contacted via phone (707) 939-6070.

Contact Information

Primary practice address
19270 Highway 12 Sonoma CA 95476-5414
Phone: (707) 939-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G80132 California

Profile Details

NPI number 1760546915
LBN Legal business name Ahern, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 23rd, 2014 - about 11 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 1760546915 NPPES
California MEDICAID GR0085520

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