Basic Information
Provider Information
NPI: 1487009072
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHRENS
FirstName: MARGARET
MiddleName: JUNE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 785 5TH AVE STE 3
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172014232
CountryCode: US
TelephoneNumber: 7172639555
FaxNumber: 7177096529
Practice Location
Address1: 120 N 7TH ST
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172011795
CountryCode: US
TelephoneNumber: 7172176800
FaxNumber: 7178392807
Other Information
ProviderEnumerationDate: 05/02/2016
LastUpdateDate: 07/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMT210521PAN Allopathic & Osteopathic PhysiciansSurgery 
208600000XMD478838PAY Allopathic & Osteopathic PhysiciansSurgery 

ID Information
IDTypeStateIssuerDescription
1559846001 CAQHOTHER


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