Ertl, Jamie Lynn
Ertl, Jamie Lynn is an individual health care provider with primary practice located at 723 Main Ave , De Pere WI 54115-1371. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ertl, Jamie Lynn can be contacted via phone (920) 336-3390.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3033035 | Wisconsin |
Profile Details
| NPI number | 1952392003 |
|---|---|
| LBN Legal business name | Ertl, Jamie Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | May 15th, 2021 - about 5 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 | 1952392003 | NPPES |
| Wisconsin | MEDICAID | 38645400 |
Popular Providers
-
Eakin, Trixie Irene
101 S. Main St , De Forest WI 53532 -
Edwards, Julia B
101 South Main St. , De Forest WI 53532-1108 -
Peot, Amy Marie
230 N Wisconsin St , De Pere WI 54115-2735 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Flink, Gene Eric
3860 Monroe Rd , De Pere WI 54115-8399 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735