Healthcare Provider Details

I. General information

NPI: 1073728630
Provider Name (Legal Business Name): JAMES E EHRLICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 W 26TH AVE # 110
DENVER CO
80211-5314
US

IV. Provider business mailing address

2490 W 26TH AVE # 110
DENVER CO
80211-5314
US

V. Phone/Fax

Practice location:
  • Phone: 303-433-8800
  • Fax: 303-433-1366
Mailing address:
  • Phone: 303-433-8800
  • Fax: 303-433-1366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number21205
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: