Organization
JAMES N EICKHOLZ MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NOAH EICKHOLZ MD (PHYSICIAN/PRESIDENT)
(270) 441-4850
Entity
Organization
Contact information
Practice address
2425 NEW HOLT ROAD, PADUCAH, KY 42001-7455
(270) 441-4850
(270) 441-4666
Mailing address
2425 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 441-4850
(270) 441-4666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32988
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053971
BCBS
KY
01
—
000000061801
BCBS/ANTHEM
KY
Enumeration date
07/08/2006
Last updated
07/18/2023
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