Ott, Ernest
Ott, Ernest is an sole proprietor health care provider with primary practice located at 2011 Jamestown Dr , Jonesboro AR 72404-9193. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ott, Ernest can be contacted via phone (870) 932-4448.Contact Information
Primary practice address
2011 Jamestown Dr
Jonesboro AR 72404-9193
Phone: (870) 932-4448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | C00821 | Arkansas |
Profile Details
| NPI number | 1548227291 |
|---|---|
| LBN Legal business name | Ott, Ernest |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jan 28th, 2016 - about 10 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 | 1548227291 | NPPES |
| Arkansas | MEDICAID | 121757701 |
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