Provider Demographics
NPI:1871767673
Name:EHMER, NATHAN ROSS (DO)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ROSS
Last Name:EHMER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1255 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0814
Mailing Address - Country:US
Mailing Address - Phone:530-246-2467
Mailing Address - Fax:530-242-9460
Practice Address - Street 1:18 BON AIR RD
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1123
Practice Address - Country:US
Practice Address - Phone:415-927-5300
Practice Address - Fax:415-927-6860
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2023-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A 10366207XX0801X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A 10366OtherLICENSE
CAP00764784OtherRAILROAD MEDICARE
CA1871767673OtherNPPES