MEDICARE: ELIZABETH SHEEP PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5601006047	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	867633	OTHER	PA	MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MA051813	OTHER	PA	LICENSE
2	5601006047	OTHER	MI	LICENSE

General Provider Information

NPI Number	:	1619973104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SHEEP PA-C

Provider Business Mailing Address
First Line	:	5315 ELLIOTT DRIVE
Second Line	:	SUITE 304
City	:	YPSILANTI
State	:	MI
Zip	:	48197-8634
Country	:	US
Telephone Number	:	734-712-0655
Fax Number	:	734-712-0611

Provider Business Practice Location Address
First Line	:	5315 ELLIOTT DRIVE
Second Line	:	SUITE 304
City	:	YPSILANTI
State	:	MI
Zip	:	48197-8634
Country	:	US
Telephone Number	:	734-712-0655
Fax Number	:	734-712-0611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1053260315 — SYDNEY DUBKE AGACNP
Practice Location Address:

5315 ELLIOTT DR
YPSILANTI, MI
48197-8634

Practice Phone: 734-712-0655
Practice Fax:

1538166616 — MATTHEW NICHOLAS HODROSKY PA
Practice Location Address:

5315 ELLIOTT DR STE 304
YPSILANTI, MI
48197-8634

Practice Phone: 734-712-0655
Practice Fax: 734-712-0611

1760483010 — DR. ROBERT A YOUNG MD
Practice Location Address:

5315 ELLIOTT DR , SUITE 301
YPSILANTI, MI
48197-8634

Practice Phone: 734-572-4500
Practice Fax: 734-572-4529

1083615488 — DR. BRIAN A BORDEN MD
Practice Location Address:

5315 ELLIOTT DR , STE 301
YPSILANTI, MI
48197-8634

Practice Phone: 734-572-4500
Practice Fax: 734-572-4529

1255332607 — DR. DAVID H JANDA MD
Practice Location Address:

5315 ELLIOTT DR , STE 301
YPSILANTI, MI
48197-8634

Practice Phone: 734-572-4500
Practice Fax: 734-572-4529

1598766883 — DR. DONALD E WILD MD
Practice Location Address:

5315 ELLIOTT DR , SUITE 301
YPSILANTI, MI
48197-8634

Practice Phone: 734-572-4500
Practice Fax: 734-572-4529

Directions to “ ELIZABETH SHEEP PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.