Ennis, Ernest R
Ennis, Ernest R is an individual health care provider with primary practice located at 300 Werner St , Hot Springs AR 71913-6406. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ennis, Ernest R can be contacted via phone (501) 622-1043.Contact Information
Primary practice address
300 Werner St
Hot Springs AR 71913-6406
Phone: (501) 622-1043
Fax: (501) 622-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004213 | Arkansas |
Profile Details
| NPI number | 1851794291 |
|---|---|
| LBN Legal business name | Ennis, Ernest R |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2014 |
| Last updated | Oct 20th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851794291 | NPPES |
| Arkansas | Other | A004213 | STATE LICENSE |
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