| Daniel K. Ehnis, Pc | |
|
4670 E. Fulton Suite 101 Ada MI 49301-8409 | |
| (616) 975-3160 | |
| (616) 975-3163 |
| Full Name | Daniel K. Ehnis, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4670 E. Fulton, Ada, Michigan |
| Authorized Official Name and Position | Daniel K. Ehnis (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6169753160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel K. Ehnis, Pc 4670 E. Fulton Suite 101 Ada MI 49301-8409 Ph: (616) 975-3160 | Daniel K. Ehnis, Pc 4670 E. Fulton Suite 101 Ada MI 49301-8409 Ph: (616) 975-3160 |
| NPI Number | 1922247162 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Medicare PECOS PAC ID | 6608857016 |
|---|---|
| Medicare Enrollment ID | O20040601000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922247162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6635 (Michigan) | Primary |
| Provider Name | Daniel K Ehnis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679602361 PECOS PAC ID: 0244211654 Enrollment ID: I20040603000151 |
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