Individual
MR. ERIC EIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1401 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 769-4005
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1939
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28259060A
IN
Other
Enumeration date
01/25/2022
Last updated
07/19/2023
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