Ehlke-Bejcek, Sara

Ehlke-Bejcek, Sara is an individual health care provider with primary practice located at 2680 W Centre Ave , Portage MI 49024-4828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ehlke-Bejcek, Sara can be contacted via phone (269) 324-2400.

Contact Information

Primary practice address
2680 W Centre Ave Portage MI 49024-4828
Phone: (269) 324-2400
Fax: (269) 324-0450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301062684 Michigan

Profile Details

NPI number 1023089604
LBN Legal business name Ehlke-Bejcek, Sara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023089604 NPPES
Michigan MEDICAID 4467322

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