Ertel, Karyn Marie

Ertel, Karyn Marie is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ertel, Karyn Marie can be contacted via phone (763) 350-6371.

Contact Information

Primary practice address
2925 Chicago Ave Minneapolis MN 55407-1321
Phone: (763) 350-6371
Fax: (763) 263-5927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16072 Minnesota

Profile Details

NPI number 1932184504
LBN Legal business name Ertel, Karyn Marie
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jan 29th, 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 1932184504 NPPES
Minnesota MEDICAID 680927800

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