Eikenberry, Mark H

Eikenberry, Mark H is an individual health care provider with primary practice located at 2530 Chicago Ave S Suite 400, Minneapolis MN 55404-4387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Eikenberry, Mark H can be contacted via phone (612) 813-3300.

Contact Information

Primary practice address
2530 Chicago Ave S Suite 400 Minneapolis MN 55404-4387
Phone: (612) 813-3300
Fax: (612) 813-3349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 31493 Arizona
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 42311 Minnesota

Profile Details

NPI number 1265405120
LBN Legal business name Eikenberry, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 28th, 2011 - 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 1265405120 NPPES
Arizona MEDICAID 798621

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