Eickelman, James Alan

Eickelman, James Alan is an individual health care provider with primary practice located at 3954 Sandalwood Ln , Pueblo CO 81005-2586. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eickelman, James Alan can be contacted via phone (719) 561-2244.

Contact Information

Primary practice address
3954 Sandalwood Ln Pueblo CO 81005-2586
Phone: (719) 561-2244
Fax: (719) 561-9329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1163 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X 497 New Mexico

Profile Details

NPI number 1851341267
LBN Legal business name Eickelman, James Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 5th, 2012 - about 14 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 1851341267 NPPES
New Mexico MEDICAID 28378261
New Mexico Other NM00PA58
New Mexico Other 0452890003
New Mexico Other 410046891
New Mexico MEDICAID 08116394
New Mexico Other CO1163
New Mexico Other 608439600
New Mexico Other 920725020820
New Mexico Other EIE0596
New Mexico Other EIE0596

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