Eicken, Iverson M.

Eicken, Iverson M. is an sole proprietor health care provider with primary practice located at 720 Southpoint Blvd Suite 202, Petaluma CA 94954-7495. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Eicken, Iverson M. can be contacted via phone (707) 775-5666.

Contact Information

Primary practice address
720 Southpoint Blvd Suite 202 Petaluma CA 94954-7495
Phone: (707) 775-5666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY19750 California

Profile Details

NPI number 1659418770
LBN Legal business name Eicken, Iverson M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated May 31st, 2013 - about 13 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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