Individual
DR. JOHN PAUL EICHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50795 INDIANA STATE ROUTE 933, SOUTH BEND, IN 46637-2050
(574) 272-7500
(574) 272-2291
Mailing address
50795 INDIANA STATE ROUTE 933, SOUTH BEND, IN 46637-2050
(574) 272-7500
(574) 272-2291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057436A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221110A
—
IN
Enumeration date
08/13/2006
Last updated
09/28/2011
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