Elizabeth Rose Ehrhart, RD

Individual provider Active NPI Registered Dietitian · Hartford City, IN

NPI 1124064910 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1124064910
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
37001661A (IN)
Practice address
105 Evergreen Way
Hartford City, IN 47348-1087
Phone
(765) 348-5699
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
37001661AINMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37001661A IN Yes

Addresses

Primary practice location

105 Evergreen Way
Hartford City, IN 47348-1087

Mailing address

105 Evergreen Way
Hartford City, IN 47348-1087
Phone (765) 348-5699

Other providers in Hartford City, IN

All providers in Hartford City, IN · Registered Dietitian in Indiana

Sources for this page

Verify at the official NPI Registry.