| Eric Ehrke LLC | |
|
1166 Quail Ct Ste 210 Pewaukee WI 53072-3775 | |
| (262) 695-5311 | |
| (262) 695-9744 |
| Full Name | Eric Ehrke LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1166 Quail Ct Ste 210, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Eric Ehrke (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 2626911470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Ehrke LLC N29w27355 Peninsula Dr Pewaukee WI 53072-4323 Ph: (262) 691-1470 | Eric Ehrke LLC 1166 Quail Ct Ste 210 Pewaukee WI 53072-3775 Ph: (262) 695-5311 |
| NPI Number | 1770089401 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/02/2018 |
| Medicare PECOS PAC ID | 6901161165 |
|---|---|
| Medicare Enrollment ID | O20180517002928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770089401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1782-123 (Wisconsin) | Primary |
| Provider Name | Eric J Ehrke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558457564 PECOS PAC ID: 0749360857 Enrollment ID: I20080102000225 |
Shepherd Chiropractic Clinic S.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2343 Silvernail Rd, Pewaukee, WI 53072 Phone: 262-569-8050 |
Prohealth Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Quinlan Dr, Pewaukee, WI 53072 Phone: 262-695-5800 |
Prohealth Care Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Main Street, Room So173, Pewaukee, WI 53072 Phone: 262-695-1888 |
The Ommani Center for Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1166 Quail Ct, Suite 210, Pewaukee, WI 53072 Phone: 262-695-5311 Fax: 262-695-9744 |
Faithful Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Cecelia Drive, Pewaukee, WI 53072 Phone: 262-373-6733 Fax: 262-373-6018 |
Rising Health Chiropractic Wellness Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Ryan St, Suite F, Pewaukee, WI 53072 Phone: 262-695-9698 Fax: 262-695-0144 |