Dewey J. Ertz is a Clinical in Rapid City, South Dakota. Dewey J. Ertz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dewey J. Ertz is 1164606570. The last update date is 2007-12-20.
Dewey J. Ertz's current location address is 3601 Canyon Lake Dr, Rapid City, South Dakota. You can contact this provider via phone number 6053418647 and fax number 6053410489. The mailing address for Dewey J. Ertz is 3601 Canyon Lake Dr, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dewey J. Ertz |
|---|---|
| Address | 3601 Canyon Lake Dr, Rapid City, South Dakota |
| Phone Number | 6053418647 |
| Fax Number | 6053410489 |
| Sole Proprietor | N |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1164606570 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2007-12-20 |
Provider Mailing Address Detail
| Address | 3601 Canyon Lake Dr |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577023900 |
| Phone Number | 6053418647 |
| Fax Number | 6053410489 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 123 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6550193 | SD | -- | |
| 460461452-26 | NE | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dewey J. Ertz by the Centers for Medicare & Medicaid Services (CMS)?
The Dewey J. Ertz has been assigned the NPI (National Provider Identifier) 1164606570. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Dewey J. Ertz?
The Dewey J. Ertz is physically situated at 3601 Canyon Lake Dr, in the city of Rapid City, state of SD, with the postal code 577023900.
What is Dewey J. Ertz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dewey J. Ertz is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Dewey J. Ertz receive its 1164606570 assignment from the Centers for Medicare & Medicaid Services?
The Dewey J. Ertz was assigned its 1164606570 on 2007-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dewey J. Ertz last refreshed?
The information related to the Dewey J. Ertz, including its address, specialty, and other relevant details, was last updated on 2007-12-20.
Address: Po Box 2333, Clay, NY
Address: 850 N Harrison St, Warsaw, IN
Address: 1143 Deer Trail Ln, Solvang, CA
Address: 7840 Oracle Pl, Potomac, MD
Address: Po Box 1289, Tampa, FL
Address: 727 N Waco Ave, Wichita, KS
Address: 1115 Elkton Dr, Colorado Springs, CO
Address: 501 S Washington St, Swayzee, IN
Address: 1709 Colley Ave, Norfolk, VA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 54045 Ridge Rd, Yucca Valley, CA
Address: 7600 Osler Dr, Towson, MD
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 41 Park Ave, New York, NY
Address: 1935 County Road B2 W Ste 270, Roseville, MN