Ajax, Ernest Todd

Ajax, Ernest Todd is an individual health care provider with primary practice located at 400 E Polk St , Washington IA 52353-1237. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ajax, Ernest Todd can be contacted via phone (319) 863-2048.

Contact Information

Primary practice address
400 E Polk St Washington IA 52353-1237
Phone: (319) 863-2048
Fax: (319) 863-2049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30503 Iowa
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30503 Iowa

Profile Details

NPI number 1740256502
LBN Legal business name Ajax, Ernest Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 5th, 2016 - about 9 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 1740256502 NPPES
Iowa MEDICAID 2126268

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