Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OP00001092 | WA |
NPI | 1003847757 |
---|---|
Provider Name | Andrew G Eichler |
First Address | Wenatchee, WA 98801-2028 |
Second Address | Wenatchee, WA 98801-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
108089 | L&I (01) | WA |
8192445 | (05) | WA |
G28558 | (02) | WA |