Provider Demographics
NPI:1912606179
Name:IHRIG, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:IHRIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 S MAIN ST APT 204
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-4253
Mailing Address - Country:US
Mailing Address - Phone:719-238-4105
Mailing Address - Fax:
Practice Address - Street 1:1006 S MAIN ST APT 204
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-4253
Practice Address - Country:US
Practice Address - Phone:719-238-4105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3082102081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine