Eichelbaum, Ehrentraud Johanna

Eichelbaum, Ehrentraud Johanna is an sole proprietor health care provider with primary practice located at 212 S Florida St , Bushnell FL 33513-6703. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Eichelbaum, Ehrentraud Johanna can be contacted via phone (352) 793-2441.

Contact Information

Primary practice address
212 S Florida St Bushnell FL 33513-6703
Phone: (352) 793-2441
Fax: (352) 793-3282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 238000185 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18573 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME140028 Florida

Profile Details

NPI number 1255518486
LBN Legal business name Eichelbaum, Ehrentraud Johanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Jun 5th, 2019 - about 7 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

Popular Providers