Eichten, Jeffrey Edwin
Eichten, Jeffrey Edwin is an individual health care provider with primary practice located at 707 Ash Street Duluth Clinic-Spooner, Spooner WI 54801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eichten, Jeffrey Edwin can be contacted via phone (715) 635-2151.Contact Information
Primary practice address
707 Ash Street Duluth Clinic-Spooner
Spooner WI 54801
Phone: (715) 635-2151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 49708 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53749-20 | Wisconsin |
Profile Details
| NPI number | 1851503635 |
|---|---|
| LBN Legal business name | Eichten, Jeffrey Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Aug 26th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851503635 | NPPES |
| Other | 1851503635 | MEDICA | |
| MEDICAID | 392450000 | MEDICA | |
| Other | P00436683 | MEDICA | |
| Other | 16P71EI | MEDICA |
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