Sally J Ellebracht-Gerk in Boonville - Family Medicine
Sally J Ellebracht-Gerk - NPI 1235168097
Sally J Ellebracht-Gerk is a Family Medicine in Boonville, Missouri. Sally J Ellebracht-Gerk practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sally J Ellebracht-Gerk is 1235168097. The last update date is 2013-04-18.
Sally J Ellebracht-Gerk's current location address is 17110 Highway 87, Boonville, Missouri. You can contact this provider via phone number 6606727005 and fax number 6608823147. The mailing address for Sally J Ellebracht-Gerk is 17110 Highway 87, Boonville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally J Ellebracht-Gerk |
|---|---|
| Address | 17110 Highway 87, Boonville, Missouri |
| Phone Number | 6606727005 |
| Fax Number | 6608823147 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1235168097 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2013-04-18 |
Provider Mailing Address Detail
| Address | 17110 Highway 87 |
|---|---|
| City | Boonville |
| State | Missouri (MO) |
| Post Code | 652332939 |
| Phone Number | 6606727005 |
| Fax Number | 6608823147 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2001014617 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209200401 | MO | -- |
Post Comment/ Review Below
What is the Sally J Ellebracht-Gerk's 1235168097?
The Sally J Ellebracht-Gerk's NPI (National Provider Identifier) Number is 1235168097. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Sally J Ellebracht-Gerk is located?
The Sally J Ellebracht-Gerk is situated at the following address: 17110 Highway 87, Boonville, MO, 652332939.
What is the Sally J Ellebracht-Gerk's area of specialization and corresponding taxonomy classification?
The Sally J Ellebracht-Gerk's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Sally J Ellebracht-Gerk receive its 1235168097?
The Sally J Ellebracht-Gerk was issued its 1235168097 on 2006-07-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Sally J Ellebracht-Gerk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sally J Ellebracht-Gerk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-04-18.