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Contact Information

PHILLIP R ERTHALL, PAC
510 LINCOLN DRIVE
SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL62948
 Phone: 618-997-6800
 Fax: 618-998-9124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PHILLIP R ERTHALL · (Male)

NPI # 1255446886
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • HEARTLAND REGIONAL MEDICAL CENTER - (Acute Care)
    3333 W DE YOUNG
    MARION, IL 62959
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
  • ST JOSEPH MEMORIAL HOSPITAL - (Critical Access)
    2 SOUTH HOSPITAL DRIVE
    MURPHYSBORO, IL 62966
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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