Individual
CAROLYN EHRINGHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
222 SAINT JOHN ST, SUITE 242, PORTLAND, ME 04102-3041
(207) 899-8142
Mailing address
222 SAINT JOHN ST, SUITE 242, PORTLAND, ME 04102-3041
(207) 899-8142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2659
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098595
ANTHEM
ME
Enumeration date
05/18/2006
Last updated
08/18/2008
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