Ernest, Nola Jean

Ernest, Nola Jean is an individual health care provider with primary practice located at 526 Boll Weevil Cir Enterprise Pediatric Clinic, Enterprise AL 36330-4012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ernest, Nola Jean can be contacted via phone (334) 308-1166.

Contact Information

Primary practice address
526 Boll Weevil Cir Enterprise Pediatric Clinic Enterprise AL 36330-4012
Phone: (334) 308-1166
Fax: (334) 308-1019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31586 Alabama

Profile Details

NPI number 1134362817
LBN Legal business name Ernest, Nola Jean
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2009
Last updated Jun 1st, 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 1134362817 NPPES
Alabama MEDICAID 184547

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