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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