Healthcare Provider Details

I. General information

NPI: 1336439470
Provider Name (Legal Business Name): ARTHUR L OHLRICH LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N STATE AVE
ALPENA MI
49707-2847
US

IV. Provider business mailing address

6369 FRENCH RD
ALPENA MI
49707-9306
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-8720
  • Fax: 989-356-8707
Mailing address:
  • Phone: 989-354-2851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801046683
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: