James E. Eisenhardt Dc, Pc | |
5886 Osage Beach Pkwy Ste B, Osage Beach, MO 65065-3040 | |
(573) 348-6640 | |
Not Available |
Full Name | James E. Eisenhardt Dc, Pc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 5886 Osage Beach Pkwy Ste B, Osage Beach, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952689101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5709 (Missouri) | Primary |
Provider Name | Aaron M Riedel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578823381 PECOS PAC ID: 9335379007 Enrollment ID: I20210218000466 |
Mailing Address | Practice Location Address |
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James E. Eisenhardt Dc, Pc 5886 Osage Beach Pkwy Ste B, Osage Beach, MO 65065-3040 Ph: (573) 348-6640 | James E. Eisenhardt Dc, Pc 5886 Osage Beach Pkwy Ste B, Osage Beach, MO 65065-3040 Ph: (573) 348-6640 |
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