Ehrenberg, Douglas Alan

Ehrenberg, Douglas Alan is an sole proprietor health care provider with primary practice located at 52 Mohawk Ave , Corte Madera CA 94925-1033. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Ehrenberg, Douglas Alan can be contacted via phone (415) 385-7587.

Contact Information

Primary practice address
52 Mohawk Ave Corte Madera CA 94925-1033
Phone: (415) 385-7587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3463 California
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E3463 California

Profile Details

NPI number 1376597443
LBN Legal business name Ehrenberg, Douglas Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2006
Last updated Nov 3rd, 2008 - about 16 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 1376597443 NPPES
California Other E3463 STATE LIC.

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