Jaxheimer, Eric C

Jaxheimer, Eric C is an individual health care provider with primary practice located at 301 S 7Th Ave Suite 1070, West Reading PA 19611-1410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jaxheimer, Eric C can be contacted via phone (484) 628-2468.

Contact Information

Primary practice address
301 S 7Th Ave Suite 1070 West Reading PA 19611-1410
Phone: (484) 628-2468
Fax: (484) 628-2467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD029617E Pennsylvania

Profile Details

NPI number 1508899154
LBN Legal business name Jaxheimer, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 18th, 2014 - about 11 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 1508899154 NPPES
Pennsylvania MEDICAID 102264305

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