Eric Jay Ehrke is a Clinical in Pewaukee, Wisconsin. Eric Jay Ehrke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Jay Ehrke is 1558457564. The last update date is 2007-12-07.
Eric Jay Ehrke's current location address is N29w27355 Peninsula Dr, Pewaukee, Wisconsin. You can contact this provider via phone number 2626911470. The mailing address for Eric Jay Ehrke is N29w27355 Peninsula Dr, Pewaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Jay Ehrke |
|---|---|
| Address | N29w27355 Peninsula Dr, Pewaukee, Wisconsin |
| Phone Number | 2626911470 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558457564 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | N29w27355 Peninsula Dr |
|---|---|
| City | Pewaukee |
| State | Wisconsin (WI) |
| Post Code | 53072 |
| Phone Number | 2626911470 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1782123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6280488 | WI | UNITED BEHAVIORAL HEALTH |
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What is the unique 10-digit identifier code issued to Eric Jay Ehrke by the Centers for Medicare & Medicaid Services?
The Eric Jay Ehrke has been assigned the NPI (National Provider Identifier) 1558457564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Eric Jay Ehrke's facilities are situated?
The facilities of Eric Jay Ehrke are physically located at the following address: N29W27355 Peninsula Dr, Pewaukee, WI, 53072.
What is Eric Jay Ehrke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eric Jay Ehrke is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558457564 to Eric Jay Ehrke?
The Centers for Medicare & Medicaid Services assigned the 1558457564 to Eric Jay Ehrke on 2006-10-05.
When was the information pertaining to Eric Jay Ehrke most recently updated or revised?
The details related to Eric Jay Ehrke, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-07.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI