Individual
RICHARD J EISENHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
482 S LIBERTY DR, BLOOMINGTON, IN 47403-1927
(812) 353-3443
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01032777A
IN
207R00000X
Internal Medicine Physician
Primary
01032777A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032777A
INDIANA LICENSE
IN
01
—
01032777B
CSR
IN
05
—
100331200
—
IN
Enumeration date
07/17/2006
Last updated
07/29/2025
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