MEDICARE: CHARLES R. OEHRLEIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00198	AL

General Provider Information

NPI Number	:	1326031451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES R. OEHRLEIN DPM

Provider Business Mailing Address
First Line	:	2321 HIGHWAY 150
Second Line	:	SUITE 121
City	:	HOOVER
State	:	AL
Zip	:	35244
Country	:	US
Telephone Number	:	205-271-7620
Fax Number	:	205-263-1655

Provider Business Practice Location Address
First Line	:	2321 HIGHWAY 150
Second Line	:	SUITE 121
City	:	HOOVER
State	:	AL
Zip	:	35244
Country	:	US
Telephone Number	:	205-271-7620
Fax Number	:	205-263-1655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	09/03/2013

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