Ertl, Christian William

Ertl, Christian William is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ertl, Christian William can be contacted via phone (269) 337-6260.

Contact Information

Primary practice address
1000 Oakland Dr Kalamazoo MI 49008-1282
Phone: (269) 337-6260
Fax: (269) 337-6530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301093343 Michigan

Profile Details

NPI number 1881691178
LBN Legal business name Ertl, Christian William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 15th, 2012 - about 12 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 1881691178 NPPES
Michigan MEDICAID 1881691178
Michigan Other 2386462
Michigan Other 149696
Michigan Other 010036846CT01
Michigan Other 1417961137
Michigan Other 03684601
Michigan Other 00136846501
Michigan Other 0V7800
Michigan Other P984485
Michigan Other 020001475
Michigan Other 061596829
Michigan Other 1740406

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