Provider Demographics
NPI:1558555375
Name:EHRLICH, BRYAN H (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:H
Last Name:EHRLICH
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 1:318 N LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1018
Mailing Address - Country:US
Mailing Address - Phone:610-259-5855
Mailing Address - Fax:610-259-3385
Practice Address - Street 1:318 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1018
Practice Address - Country:US
Practice Address - Phone:610-259-5855
Practice Address - Fax:610-259-3385
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004076-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC004076-LOtherSTATE
PADC004076-LOtherSTATE