Mistr, Ernest N

Mistr, Ernest N is an individual health care provider with primary practice located at 1330 Boiling Springs Rd Suite 1300, Spartanburg SC 29303-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mistr, Ernest N can be contacted via phone (864) 560-6345.

Contact Information

Primary practice address
1330 Boiling Springs Rd Suite 1300 Spartanburg SC 29303-4201
Phone: (864) 560-6345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17303 South Carolina

Profile Details

NPI number 1063484327
LBN Legal business name Mistr, Ernest N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 16th, 2010 - about 16 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 1063484327 NPPES
Virginia Other 0101018666 MEDICAL LICENSE NUMBER
Virginia Other 17303 MEDICAL LICENSE NUMBER
Virginia MEDICAID T11458 MEDICAL LICENSE NUMBER

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