Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 41616 | OH |
NPI | 1023107893 |
---|---|
Provider Name | Dr. Joseph C Eichel |
First Address | Fort Gordon, GA 30905-5650 |
Second Address | Zanesville, OH 43701-1593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 29/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
467267 | (05) | OH |
A80031 | (02) | OH |