Individual
DR. JEFFREY CHARLES EIDSVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5944 W PARKER RD, #400, PLANO, TX 75093-6421
(972) 309-2021
(972) 309-2023
Mailing address
3060 COMMUNICATIONS PARKWAY, #104, PLANO, TX 75093
(972) 312-9310
(972) 312-9316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AW433
BCBS
TX
Enumeration date
09/18/2007
Last updated
03/31/2016
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