Ehlenberger, Charles
Ehlenberger, Charles is an individual health care provider with primary practice located at 1350 Hickory Street , Melbourne FL 32901-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ehlenberger, Charles can be contacted via phone (321) 434-7000.Contact Information
Primary practice address
1350 Hickory Street
Melbourne FL 32901-3224
Phone: (321) 434-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD431204 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101245945 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME115600 | Florida |
Profile Details
| NPI number | 1063613180 |
|---|---|
| LBN Legal business name | Ehlenberger, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063613180 | NPPES |
| Florida | Other | P01186454 | RAILROAD MEDICARE |
| Florida | Other | 14PS0 | RAILROAD MEDICARE |
| Florida | MEDICAID | 008591300 | RAILROAD MEDICARE |
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