Provider Demographics
NPI:1164773289
Name:HUHTA, ERNEST RAY JR (CMAT, EASS)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:RAY
Last Name:HUHTA
Suffix:JR
Gender:M
Credentials:CMAT, EASS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:19- 3RD ST SE
Mailing Address - City:MENAHGA
Mailing Address - State:MN
Mailing Address - Zip Code:56464
Mailing Address - Country:US
Mailing Address - Phone:218-564-4200
Mailing Address - Fax:218-564-5711
Practice Address - Street 1:19- 3RD ST SE
Practice Address - Street 2:
Practice Address - City:MENAHGA
Practice Address - State:MN
Practice Address - Zip Code:56464
Practice Address - Country:US
Practice Address - Phone:218-564-4200
Practice Address - Fax:218-564-5711
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNNO LICENSURE247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other