Provider Demographics
NPI:1871674077
Name:GRIFFIN, ERNEST L (HS)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:L
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 2ND ST SW, SUITE 5314
Mailing Address - Street 2:COMDT (CG-1122), U.S. COAST GUARD
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 2ND ST SW, SUITE 5314
Practice Address - Street 2:COMDT (CG-1122), U.S. COAST GUARD
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593
Practice Address - Country:US
Practice Address - Phone:202-475-5182
Practice Address - Fax:202-267-4685
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other