Provider Demographics
NPI:1558584326
Name:EHRLICH, NATHAN (ND)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-0756
Mailing Address - Country:US
Mailing Address - Phone:808-572-1388
Mailing Address - Fax:808-572-1389
Practice Address - Street 1:1135 MAKAWAO AVE
Practice Address - Street 2:#101
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-7403
Practice Address - Country:US
Practice Address - Phone:808-572-1388
Practice Address - Fax:808-572-1389
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI77175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath