Provider Demographics
NPI:1912961491
Name:EHRENFEUCHTER, KURT E (DO)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:E
Last Name:EHRENFEUCHTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005306L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0068639000OtherINDEPENDENCE BLUE CROSS
197668OtherHIGHMARK BLUE SHIELD
9052678OtherPRIVATE HEALTHCARE SYSTEM
P3709962OtherOXFORD HEALTH PLANS
50059466OtherCAPITAL BLUE CROSS
0068639000OtherAMERIHEALTH
2170589OtherMAMSI
32226OtherGEISINGER HEALTH PLAN
50059466OtherKEYSTONE HEALTH CENTRAL
0068639000OtherKEYSTONE HEALTH EAST
1555320OtherUNITED HEALTHCARE
P00333105OtherMEDICARE RAILROAD
50059466OtherCAPITAL BLUE CROSS
P00333105OtherMEDICARE RAILROAD