Ernst, Thomas N

Ernst, Thomas N is an individual health care provider with primary practice located at 211 Nw Larch Ave , Redmond OR 97756-1357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ernst, Thomas N can be contacted via phone (541) 548-2164.

Contact Information

Primary practice address
211 Nw Larch Ave Redmond OR 97756-1357
Phone: (541) 548-2164
Fax: (541) 548-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23788 Oregon

Profile Details

NPI number 1538102058
LBN Legal business name Ernst, Thomas N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 3rd, 2012 - about 14 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 1538102058 NPPES
Oregon Other 10949202 CAQH ID
Oregon MEDICAID 286658 CAQH ID

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