Ertag, William David
Ertag, William David is an individual health care provider with primary practice located at 720 Goodlette Rd N Suite 204, Naples FL 34102-5656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ertag, William David can be contacted via phone (239) 430-0800.Contact Information
Primary practice address
720 Goodlette Rd N Suite 204
Naples FL 34102-5656
Phone: (239) 430-0800
Fax: (239) 430-0538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME25371 | Florida |
Profile Details
NPI number | 1417955295 |
---|---|
LBN Legal business name | Ertag, William David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2005 |
Last updated | Sep 12th, 2018 - about 6 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417955295 | NPPES |
Florida | Other | 78279 | BLUE CROSS BLUE SHIELD |
Florida | Other | 010732394 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 035820700 | BLUE CROSS BLUE SHIELD |
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