Ehmke, Jeffrey S

Ehmke, Jeffrey S is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ehmke, Jeffrey S can be contacted via phone (573) 632-5000.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2001014616 Missouri

Profile Details

NPI number 1780631978
LBN Legal business name Ehmke, Jeffrey S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Sep 14th, 2022 - about 3 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 1780631978 NPPES
Missouri MEDICAID 206009300
Missouri Other P00322467

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