Ehlenberger, Lydia

Ehlenberger, Lydia is an individual health care provider with primary practice located at 4616 N 51St Ave , Phoenix AZ 85031-1721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ehlenberger, Lydia can be contacted via phone (623) 247-6266.

Contact Information

Primary practice address
4616 N 51St Ave Phoenix AZ 85031-1721
Phone: (623) 247-6266
Fax: (623) 247-9742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29643 Arizona

Profile Details

NPI number 1700846631
LBN Legal business name Ehlenberger, Lydia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 18th, 2016 - about 8 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 1700846631 NPPES
Arizona MEDICAID 871261

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