Ertel, Stacey Ann

Ertel, Stacey Ann is an sole proprietor health care provider with primary practice located at 3054 Goodrich Rd , Cambridge ID 83610-5134. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Ertel, Stacey Ann can be contacted via phone (208) 257-3499.

Contact Information

Primary practice address
3054 Goodrich Rd Cambridge ID 83610-5134
Phone: (208) 257-3499
Fax: (208) 257-3539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X PT-1187 Idaho
Other Service Providers / Mechanotherapist 172M00000X 3180 Oregon

Profile Details

NPI number 1174757793
LBN Legal business name Ertel, Stacey Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2009
Last updated May 11th, 2009 - about 15 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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