Individual
JEFFREY L EIKANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148812030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004421305
MEDICARE HUMANA GOLD
WI
01
—
391330887
HEALTH EOS
WI
01
—
44332200
MANAGED HEALTH CARE
WI
05
—
44332200
—
WI
01
—
93215
SECURITY HEALTH MEDICAID
WI
01
—
EIKANGER
WPS
WI
01
—
P00151116
MEDICARE RAILROAD
WI
Enumeration date
07/18/2006
Last updated
11/04/2021
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