Provider Demographics
NPI:1972195030
Name:EHRLICH, JAMES LOUIS
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LOUIS
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 KELLY PL
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1133
Mailing Address - Country:US
Mailing Address - Phone:720-224-6758
Mailing Address - Fax:
Practice Address - Street 1:1004 KELLY PL
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1133
Practice Address - Country:US
Practice Address - Phone:720-224-6758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO171WH0202X
171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications