Provider Demographics
NPI:1336286715
Name:EHRENBERG, HAROLD L (DC)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:EHRENBERG
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 1:2113 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6321
Mailing Address - Country:US
Mailing Address - Phone:504-832-1181
Mailing Address - Fax:504-832-9756
Practice Address - Street 1:2113 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-6321
Practice Address - Country:US
Practice Address - Phone:504-832-1181
Practice Address - Fax:504-832-9756
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA59177Medicare ID - Type Unspecified