Organization
MICHAEL G. EHRIE, JR, PSC
Active
Organization
MICHAEL G. EHRIE, JR, PSC
Active
Other names
michael g. ehrie, md. psc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G EHRIE JR. MD (PHYSICIAN)
(606) 836-9622
Entity
Organization
Contact information
Practice address
1150 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
(606) 836-9622
(606) 836-1986
Mailing address
1150 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
(606) 836-9622
(606) 836-1986
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
21309
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047402
ANTHEM/BCBS
KY
01
—
010000406
RAILROAD MEDICARE
KY
01
—
020394400
FEDERAL BLACK LUNG
KY
01
—
0476373
OHIO MEDICAID
OH
01
—
4460420
AETNA
KY
05
—
64213093
—
KY
Enumeration date
09/27/2007
Last updated
08/18/2009
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