Ehlert, Roger Claus
Ehlert, Roger Claus is an individual health care provider with primary practice located at 424 E Sherman Ave Suite 107, Coeur D Alene ID 83814-1701. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ehlert, Roger Claus can be contacted via phone (208) 667-0544.Contact Information
Primary practice address
424 E Sherman Ave Suite 107
Coeur D Alene ID 83814-1701
Phone: (208) 667-0544
Fax: (208) 667-0544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY00000622 | Washington |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY56 | Idaho |
Profile Details
| NPI number | 1932295383 |
|---|---|
| LBN Legal business name | Ehlert, Roger Claus |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 10th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932295383 | NPPES |
| Idaho | Other | N0567 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010015973 | BLUE CROSS OF IDAHO |
| Idaho | Other | N4700 | BLUE CROSS OF IDAHO |
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