Ernst, Thomas Kevin

Ernst, Thomas Kevin is an individual health care provider with primary practice located at 828 10Th Ave , Port Huron MI 48060-3640. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ernst, Thomas Kevin can be contacted via phone (810) 982-4240.

Contact Information

Primary practice address
828 10Th Ave Port Huron MI 48060-3640
Phone: (810) 982-4240
Fax: (810) 982-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901000955 Michigan

Profile Details

NPI number 1174520274
LBN Legal business name Ernst, Thomas Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 22nd, 2007 - about 19 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 1174520274 NPPES
Michigan MEDICAID 1958336

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