Individual
JEFFREY L EIKANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 333-1000
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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