Ernst, Mary-Alice Rodstrom

Ernst, Mary-Alice Rodstrom is an individual health care provider with primary practice located at 1590 E. 13Th St , Eugene OR 97403-1232. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ernst, Mary-Alice Rodstrom can be contacted via phone (541) 346-2770.

Contact Information

Primary practice address
1590 E. 13Th St Eugene OR 97403-1232
Fax: (541) 346-2747
Website:

Profile Details

NPI number 1396987608
LBN Legal business name Ernst, Mary-Alice Rodstrom
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Sep 29th, 2014 - about 11 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 1396987608 NPPES
Kentucky Other 000019886Q HUMANA
Kentucky Other 000000624383 HUMANA

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