Gertz, Dale

Gertz, Dale is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-1230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Gertz, Dale can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-1230
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 9601082 North Carolina
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 88232 South Carolina

Profile Details

NPI number 1437249133
LBN Legal business name Gertz, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 15th, 2022 - about 4 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 1437249133 NPPES
North Carolina MEDICAID 8911437

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