Roger C Ehlert, Phd Pa

LBN: Roger C Ehlert, Phd Pa
Roger C Ehlert, Phd Pa is an health care organization with primary practice located at 424 E Sherman Ave Suite 107, Coeur D Alene ID 83814-1701. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Roger C Ehlert, Phd Pa can be contacted via phone (208) 667-0544, or through Ehlert, Roger Claus via phone (208) 667-0544.

Contact Information

Primary practice address
424 E Sherman Ave Suite 107 Coeur D Alene ID 83814-1701
Fax: (208) 667-0544
Website:
Authorized official contact:
Name: Ehlert, Roger Claus PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY56 Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00000622 Washington

Profile Details

NPI number 1326162835
LBN Legal business name Roger C Ehlert, Phd Pa
DBA Doing business as
Authorized official Ehlert, Roger Claus PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326162835 NPPES
Other N0567 BLUE CROSS OF IDAHO
Other 000010015973 BLUE CROSS OF IDAHO
Other N4700 BLUE CROSS OF IDAHO

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