Individual
JOHN L EICKHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
974 BETHEL RD STE E, COLUMBUS, OH 43214-2467
(614) 273-2230
(614) 538-2418
Mailing address
1810 MACKENZIE DR FL 2, COLUMBUS, OH 43220-2967
(614) 273-2250
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35042332
OH
Other
Enumeration date
12/06/2006
Last updated
11/02/2018
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