Ertel, Erica Lee

Ertel, Erica Lee is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 201 , Kettering OH 45429-1265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ertel, Erica Lee can be contacted via phone (855) 500-2873.

Contact Information

Primary practice address
3700 Southern Blvd Ste 201 Kettering OH 45429-1265
Phone: (855) 500-2873
Fax: (937) 281-3992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA. 18374-NP Ohio

Profile Details

NPI number 1013381037
LBN Legal business name Ertel, Erica Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2015
Last updated Jan 12th, 2021 - about 3 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 1013381037 NPPES
Ohio MEDICAID 0155179

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