Eldevick, Karen Lea

Eldevick, Karen Lea is an individual health care provider with primary practice located at 2820 Roosevelt Road , Marinette WI 54143-3834. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Eldevick, Karen Lea can be contacted via phone (715) 735-5225.

Contact Information

Primary practice address
2820 Roosevelt Road Marinette WI 54143-3834
Phone: (715) 735-5225
Fax: (715) 735-5388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 64279-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301051670 Michigan

Profile Details

NPI number 1962493718
LBN Legal business name Eldevick, Karen Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Nov 2nd, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962493718 NPPES
Michigan Other 080036025 RAILROAD MEDICARE
Michigan MEDICAID 2674383 RAILROAD MEDICARE
Michigan Other KE051670 RAILROAD MEDICARE

Popular Providers