Provider Demographics
NPI:1043258197
Name:EHRNST, JAMES FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:EHRNST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PETOSKEY ST
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2656
Mailing Address - Country:US
Mailing Address - Phone:231-347-3391
Mailing Address - Fax:231-347-5612
Practice Address - Street 1:410 PETOSKEY ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2656
Practice Address - Country:US
Practice Address - Phone:231-347-3391
Practice Address - Fax:231-347-5612
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B45007OtherMEDICARE
MI1367619Medicaid