Ernst, Jonathan R

Ernst, Jonathan R is an sole proprietor health care provider with primary practice located at 1211 Fish Hatchery Rd , Madison WI 53715-1909. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ernst, Jonathan R can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1211 Fish Hatchery Rd Madison WI 53715-1909
Phone: (608) 252-8000
Fax: (608) 283-7160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 67864-20 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67864-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 67864-20 Wisconsin

Profile Details

NPI number 1548675697
LBN Legal business name Ernst, Jonathan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2014
Last updated May 24th, 2022 - about 3 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 1548675697 NPPES
Wisconsin MEDICAID 1548675697

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