Ernst, Mary-Alice Rodstrom
Ernst, Mary-Alice Rodstrom is an individual health care provider with primary practice located at 1590 E. 13Th St , Eugene OR 97403-1232. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ernst, Mary-Alice Rodstrom can be contacted via phone (541) 346-2770.Contact Information
Primary practice address
1590 E. 13Th St
Eugene OR 97403-1232
Phone: (541) 346-2770
Fax: (541) 346-2747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 333339 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | 1119712 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 10367 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 333339-COA1 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 201050211NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6004P | Kentucky |
Profile Details
| NPI number | 1396987608 |
|---|---|
| LBN Legal business name | Ernst, Mary-Alice Rodstrom |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Sep 29th, 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 | 1396987608 | NPPES |
| Kentucky | Other | 000019886Q | HUMANA |
| Kentucky | Other | 000000624383 | HUMANA |
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