Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 4733 | ND |
NPI | 1053365122 |
---|---|
Provider Name | Dale J Ernster |
First Address | Jamestown, ND 58401-4247 |
Second Address | Jamestown, ND 58401-4247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00627ER | MNBS # (01) | ND |
0067 | NDBS # (01) | ND |
0105986 | MEDICA # (01) | ND |
0474 | NDBS # (01) | ND |
0D301ER | MN BS # (01) | ND |
1015987 | MEDICA # (01) | ND |
10749 | NDBS # (01) | ND |
142007 | UCARE # (01) | ND |
16051 | (05) | ND |
40011ER | MNBS # (01) | ND |
7936 | SIOUX VALLEY # (01) | ND |
900854 | AMERICA'S PPO/ARAZ # (01) | ND |
DA9061015618 | PREFERRED ONE # (01) | ND |
HP19509 | HEALTHPARTNERS # (01) | ND |
ND100021 | LHS/BANNER HEALTH # (01) | ND |