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
Fax: (239) 430-0538
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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