Ertz, Kathleen
Ertz, Kathleen is an individual health care provider with primary practice located at 2116 Craig Road , Eau Claire WI 54701. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ertz, Kathleen can be contacted via phone (715) 858-4586.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 730 | Wisconsin |
Profile Details
| NPI number | 1770684300 |
|---|---|
| LBN Legal business name | Ertz, Kathleen |
| Credentials | Master of Science in Social Work (MSSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1770684300 | NPPES |
| Wisconsin | MEDICAID | 39548800 |
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