Eickenbrock, Andrea M.

Eickenbrock, Andrea M. is an individual health care provider with primary practice located at 1380 S Columbia Rd - Altru Family Medicine Center , Grand Forks ND 58201-4059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Eickenbrock, Andrea M. can be contacted via phone (701) 795-2000.

Contact Information

Primary practice address
1380 S Columbia Rd - Altru Family Medicine Center Grand Forks ND 58201-4059
Phone: (701) 795-2000
Fax: (701) 795-2260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R71437 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12801 North Dakota

Profile Details

NPI number 1093943656
LBN Legal business name Eickenbrock, Andrea M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093943656 NPPES
North Dakota MEDICAID 18826

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