Ertl, Andrew
Ertl, Andrew is an individual health care provider with primary practice located at 260 26Th St , Prairie Du Sac WI 53578-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ertl, Andrew can be contacted via phone (608) 643-2471.Contact Information
Primary practice address
260 26Th St
Prairie Du Sac WI 53578-2203
Phone: (608) 643-2471
Fax: (608) 643-4788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 66056 | Wisconsin |
Profile Details
| NPI number | 1679894943 |
|---|---|
| LBN Legal business name | Ertl, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679894943 | NPPES |
| Other | 000495 | PTAN | |
| MEDICAID | 100058595 | PTAN |
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