Eric Ehrke LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1782-123 Issued in WI

Legal business name

ERIC EHRKE LLC

Practice address

1166 Quail CT Ste 210
Pewaukee, WI 53072-3775

Phone

(262) 695-5311

Fax

(262) 695-9744

NPI assigned

Apr 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Ehrke, LCSWNPI 1558457564

Title

Authorized Offical

Phone

(262) 691-1470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Jay Ehrke, LCSW

  • Clinical Social Worker
  • Pewaukee, WI
  • NPI 1558457564
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1770089401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N29W27355 PENINSULA DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724323",
            "telephone_number": "262-691-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 QUAIL CT STE 210",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723775",
            "telephone_number": "262-695-5311",
            "fax_number": "262-695-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC EHRKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "EHRKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "262-691-1470",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1782-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ehlen, BCBA
• Eric Jay Ehrke, LCSW
• Marc Eliszewski, DC
• Elite Mobility Services
• Jon Michael Englund, M.D.
• Mark R Erickson, P.T.
• Evolution Exercise & Spine Center
• Sarah A. Ezerins, OT
• Lori R Fairbairn, MFT
• Faithful Physician Services LLC

• Clinic/Center in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.