Ernstoff, Jon J
Ernstoff, Jon J is an individual health care provider with primary practice located at 455 Lewis Ave Suite 106, Meriden CT 06451-2121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Ernstoff, Jon J can be contacted via phone (203) 886-0036.Contact Information
Primary practice address
455 Lewis Ave Suite 106
Meriden CT 06451-2121
Phone: (203) 886-0036
Fax: (203) 886-0072
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025772 | Connecticut |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 025772 | Connecticut |
Profile Details
NPI number | 1598789653 |
---|---|
LBN Legal business name | Ernstoff, Jon J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Aug 19th, 2011 - about 13 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 | 1598789653 | NPPES |
Connecticut | MEDICAID | 001257724 |
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