Provider Demographics
NPI:1215044656
Name:EHLE, ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:EHLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 W INTERSTATE 40
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1849
Mailing Address - Country:US
Mailing Address - Phone:806-355-5800
Mailing Address - Fax:806-355-1400
Practice Address - Street 1:2213 W INTERSTATE 40
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1849
Practice Address - Country:US
Practice Address - Phone:806-355-5800
Practice Address - Fax:806-355-1400
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00132067OtherRAILROAD MEDICARE
TXU26723Medicare UPIN
TX8B4376Medicare ID - Type UnspecifiedMEDICARE IND PROVIDER