Eicher, Jill

Eicher, Jill is an sole proprietor health care provider with primary practice located at 2015 Emory Rd , Reisterstown MD 21136-4017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eicher, Jill can be contacted via phone (667) 444-2330.

Contact Information

Primary practice address
2015 Emory Rd Reisterstown MD 21136-4017
Fax: (410) 848-1980
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X G11978 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17813 Maryland

Profile Details

NPI number 1093018020
LBN Legal business name Eicher, Jill
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2010
Last updated Sep 29th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093018020 NPPES
Maryland MEDICAID 941012100

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