Ernest Arthur Ketelhut in Southgate - Clinical
Ernest Arthur Ketelhut - NPI 1083829857
Ernest Arthur Ketelhut is a Clinical in Southgate, Michigan. Ernest Arthur Ketelhut practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ernest Arthur Ketelhut is 1083829857. The last update date is 2007-07-08.
Ernest Arthur Ketelhut's current location address is 19291 Northline Rd, Southgate, Michigan. You can contact this provider via phone number 7342871500 and fax number 7342871660. The mailing address for Ernest Arthur Ketelhut is 19291 Northline Rd, Southgate, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest Arthur Ketelhut |
|---|---|
| Address | 19291 Northline Rd, Southgate, Michigan |
| Phone Number | 7342871500 |
| Fax Number | 7342871660 |
| Sole Proprietor | Y |
| Credentials | M.S. L.L.P |
NPI Number Detail
| NPI Number | 1083829857 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19291 Northline Rd |
|---|---|
| City | Southgate |
| State | Michigan (MI) |
| Post Code | 481952220 |
| Phone Number | 7342871500 |
| Fax Number | 7342871660 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006642 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Ernest Arthur Ketelhut by the Centers for Medicare & Medicaid Services?
The Ernest Arthur Ketelhut has been assigned the NPI (National Provider Identifier) 1083829857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Ernest Arthur Ketelhut is physically located?
The Ernest Arthur Ketelhut is situated at the following address: 19291 Northline Rd, Southgate, MI 481952220.
What is the Ernest Arthur Ketelhut's specialty and taxonomy code?
The Ernest Arthur Ketelhut's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Ernest Arthur Ketelhut receive its 1083829857 assignment?
The Ernest Arthur Ketelhut was assigned its 1083829857 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Ernest Arthur Ketelhut most recently updated?
The details pertaining to the Ernest Arthur Ketelhut, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC