Ketterling, Ellen L

Ketterling, Ellen L is an individual health care provider with primary practice located at 1000 Highway 12 , Hettinger ND 58639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ketterling, Ellen L can be contacted via phone (701) 567-4561.

Contact Information

Primary practice address
1000 Highway 12 Hettinger ND 58639
Phone: (701) 567-4561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5100 North Dakota

Profile Details

NPI number 1245323930
LBN Legal business name Ketterling, Ellen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1245323930 NPPES
Other 10782 ND BC/BS
MEDICAID 7705170 ND BC/BS
Other 33921 ND BC/BS
MEDICAID 14662 ND BC/BS

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