Provider Demographics
NPI:1295852077
Name:EHNSTROM-CARR, ERIKA DENISE (LIC AC)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:DENISE
Last Name:EHNSTROM-CARR
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:MISS
Other - First Name:ERIKA
Other - Middle Name:DENISE
Other - Last Name:EHNSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:185 LEGATE HILL RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5254
Mailing Address - Country:US
Mailing Address - Phone:978-466-1334
Mailing Address - Fax:
Practice Address - Street 1:185 LEGATE HILL RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5254
Practice Address - Country:US
Practice Address - Phone:978-466-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist