Ihlenfeld, Charles L.

Ihlenfeld, Charles L. is an sole proprietor health care provider with primary practice located at 14 South Menantic Road , Shelter Island Heights NY 11965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ihlenfeld, Charles L. can be contacted via phone (631) 278-5127.

Contact Information

Primary practice address
14 South Menantic Road Shelter Island Heights NY 11965
Phone: (631) 278-5127
Fax: (631) 749-3079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 092919 New York

Profile Details

NPI number 1699773705
LBN Legal business name Ihlenfeld, Charles L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Sep 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699773705 NPPES
New York MEDICAID M00150376 Y0608

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