Ertel, Inta J

Ertel, Inta J is an individual health care provider with primary practice located at 1051 North Canton Center Rd , Canton MI 48187-5097. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ertel, Inta J can be contacted via phone (734) 844-5400.

Contact Information

Primary practice address
1051 North Canton Center Rd Canton MI 48187-5097
Phone: (734) 844-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301025548 Michigan
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 4301025548 Michigan

Profile Details

NPI number 1710901087
LBN Legal business name Ertel, Inta J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 5th, 2012 - about 13 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 1710901087 NPPES
Michigan MEDICAID 4424521

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