Ernst, Jeffrey Clark
Ernst, Jeffrey Clark is an individual health care provider with primary practice located at 357 Nw Richmond Beach Rd Richmond Pediatrics, Shoreline WA 98177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ernst, Jeffrey Clark can be contacted via phone (206) 546-2421.Contact Information
Primary practice address
357 Nw Richmond Beach Rd Richmond Pediatrics
Shoreline WA 98177
Phone: (206) 546-2421
Fax: (206) 546-8436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38513 | Washington |
Profile Details
| NPI number | 1790721736 |
|---|---|
| LBN Legal business name | Ernst, Jeffrey Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Dec 6th, 2014 - about 12 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 | 1790721736 | NPPES |
| Washington | MEDICAID | 8253270 |
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