Dyer Ertl, Linda E

Dyer Ertl, Linda E is an individual health care provider with primary practice located at 601 John St Suite E352, Kalamazoo MI 49007-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dyer Ertl, Linda E can be contacted via phone (269) 341-8986.

Contact Information

Primary practice address
601 John St Suite E352 Kalamazoo MI 49007-5341
Phone: (269) 341-8986
Fax: (269) 341-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301095760 Michigan

Profile Details

NPI number 1083602924
LBN Legal business name Dyer Ertl, Linda E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083602924 NPPES
Michigan MEDICAID 1083602924
Michigan MEDICAID 001371426
Michigan Other 1417961137

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