Individual
GLENN M EICHENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM AP
Contact information
Practice address
2145 S TAMIAMI TRL, OSPREY, FL 34229-9696
(941) 926-4711
(941) 926-4711
Mailing address
2145 S TAMIAMI TRL, OSPREY, FL 34229-9696
(941) 926-4711
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1658
STATE LICENSE #
FL
Enumeration date
01/17/2007
Last updated
01/24/2018
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