Healthcare Provider Details

I. General information

NPI: 1275159253
Provider Name (Legal Business Name): DANIEL PATRICK EHRMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7197 PINE ST
OMAHA NE
68106-2811
US

IV. Provider business mailing address

7197 PINE ST
OMAHA NE
68106-2811
US

V. Phone/Fax

Practice location:
  • Phone: 402-681-9574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: