Individual
MR. SCOTT MATTHEW ERNSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED DIETITIAN
Contact information
Practice address
26694 483RD AVE, BRANDON, SD 57005-7230
(952) 454-4666
Mailing address
26694 483RD AVE, BRANDON, SD 57005-7230
(952) 454-4666
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
965851
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
965851
COMMISSION ON DIETETIC REGISTRATION LICENSURE NUMBER
—
Enumeration date
06/09/2010
Last updated
06/09/2010
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