Herrenkohl, Ellen C

Herrenkohl, Ellen C is an sole proprietor health care provider with primary practice located at 65 E Elizabeth Ave Suite 608, Bethlehem PA 18018-6518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Herrenkohl, Ellen C can be contacted via phone (610) 868-0625.

Contact Information

Primary practice address
65 E Elizabeth Ave Suite 608 Bethlehem PA 18018-6518
Fax: (610) 625-5832
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS000796-L Pennsylvania

Profile Details

NPI number 1649250184
LBN Legal business name Herrenkohl, Ellen C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Jun 30th, 2010 - about 14 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 1649250184 NPPES
Pennsylvania Other 0051300000 INDEPENDENCE BLUE CROSS
Pennsylvania Other 02437700 INDEPENDENCE BLUE CROSS
Pennsylvania Other 30631 INDEPENDENCE BLUE CROSS
Pennsylvania Other 0005780270 INDEPENDENCE BLUE CROSS

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