Ernestus, Stephanie M
Ernestus, Stephanie M is an individual health care provider with primary practice located at 320 Washington St , North Easton MA 02357-3247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Ernestus, Stephanie M can be contacted via phone (424) 453-4573.Contact Information
Primary practice address
320 Washington St
North Easton MA 02357-3247
Phone: (424) 453-4573
Fax: (614) 355-9589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11613 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 29122 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Ohio |
Profile Details
| NPI number | 1962803122 |
|---|---|
| LBN Legal business name | Ernestus, Stephanie M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Jan 10th, 2022 - about 3 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 | 1962803122 | NPPES |
| Ohio | MEDICAID | 2846675 |
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