Provider Demographics
NPI:1851572325
Name:ERMANSONS, MARIS EGILS (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIS
Middle Name:EGILS
Last Name:ERMANSONS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27728 ELKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-4766
Mailing Address - Country:US
Mailing Address - Phone:818-612-3003
Mailing Address - Fax:661-388-4492
Practice Address - Street 1:27728 ELKWOOD LN
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-4766
Practice Address - Country:US
Practice Address - Phone:818-612-3003
Practice Address - Fax:661-388-4492
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor