Ertsgard, Timothy
Ertsgard, Timothy is an individual health care provider with primary practice located at 807 Donnell Blvd Ste R , Daleville AL 36322-2111. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ertsgard, Timothy can be contacted via phone (334) 709-4386.Contact Information
Primary practice address
807 Donnell Blvd Ste R
Daleville AL 36322-2111
Phone: (334) 709-4386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1124664412 |
|---|---|
| LBN Legal business name | Ertsgard, Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2019 |
| Last updated | Nov 21st, 2019 - about 6 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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