Eric Allen Eichline, LPN is a
Licensed Practical Nurse based in Portage, Wisconsin. Eric Allen Eichline is licensed to practice in Wisconsin (license number 313582) and his current practice location is
N9402 County Road X, Portage, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 981-2045.
NPI number for Eric Allen Eichline is 1659630127 and his current mailing address is N9402 Hwy X, Portage, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659630127.
Provider's Profile
| Full Name | Eric Allen Eichline |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | N9402 County Road X, Portage, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659630127
- Provider Enumeration Date: 05/03/2012
- Last Update Date: 05/03/2012
Medical Identifiers
Medical identifiers for Eric Allen Eichline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659630127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 313582 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eric Allen Eichline is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eric Allen Eichline, LPN
N9402 Hwy X,
Portage, WI 53901
Ph: Not Available | Eric Allen Eichline, LPN
N9402 County Road X,
Portage, WI 53901-9462
Ph: (608) 981-2045 |
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