Individual
JACOB MATTHEW ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0369
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-0369
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02005164A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2016
Last updated
07/09/2020
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