Ertel, Carol C

Ertel, Carol C is an sole proprietor health care provider with primary practice located at 799 Broadway Suite 631, New York NY 10003-6811. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Ertel, Carol C can be contacted via phone (212) 979-6760.

Contact Information

Primary practice address
799 Broadway Suite 631 New York NY 10003-6811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X R-045532 New York

Profile Details

NPI number 1235357492
LBN Legal business name Ertel, Carol C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 16th, 2007 - about 17 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 1235357492 NPPES
New York Other P1091471 OXFORD

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