NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

KEITH M ERNST, DO
153 N. MAIN ST.
CLOVERDALE, IN46120-0188
 Phone: 765-795-4241
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for KEITH M ERNST · (Male)

NPI Number 1003036526
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/26/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 02000141A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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