Individual
SALLY J ELLEBRACHT-GERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17110 HIGHWAY 87, BOONVILLE, MO 65233-2939
(660) 672-7005
(660) 882-3147
Mailing address
17110 HIGHWAY 87, BOONVILLE, MO 65233-2939
(660) 672-7005
(660) 882-3147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001014617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209200401
—
MO
Enumeration date
07/02/2006
Last updated
04/18/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us