Eickmeier, Kimberly M.

Eickmeier, Kimberly M. is an sole proprietor health care provider with primary practice located at 411 Devonshire Dr , Champaign IL 61820-7286. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Eickmeier, Kimberly M. can be contacted via phone (217) 352-2573.

Contact Information

Primary practice address
411 Devonshire Dr Champaign IL 61820-7286
Phone: (217) 352-2573
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004729 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004729 Illinois

Profile Details

NPI number 1811903651
LBN Legal business name Eickmeier, Kimberly M.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jun 7th, 2022 - about 4 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 1811903651 NPPES
Illinois Other 909010 MEDICARE GROUP
Illinois Other 480018421 MEDICARE GROUP
Illinois MEDICAID 016004729 1 MEDICARE GROUP

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