| Leo Eickhoff Md Inc | |
|
2510 Airpark Dr Ste 102 Redding CA 96001-2449 | |
| (530) 243-8667 | |
| (530) 243-8742 |
| Full Name | Leo Eickhoff Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2510 Airpark Dr, Redding, California |
| Authorized Official Name and Position | Leo Eickhoff (OWNER) |
| Authorized Official Contact | 5302438667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Eickhoff Md Inc 2510 Airpark Dr Ste 102 Redding CA 96001-2449 Ph: (530) 243-8667 | Leo Eickhoff Md Inc 2510 Airpark Dr Ste 102 Redding CA 96001-2449 Ph: (530) 243-8667 |
| NPI Number | 1114337326 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Medicare PECOS PAC ID | 1153540406 |
|---|---|
| Medicare Enrollment ID | O20140918000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114337326 | NPI | - | NPPES |
| 1871609966 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G88920 (California) | Primary |
| Provider Name | Leo E Eickhoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871609966 PECOS PAC ID: 7911088273 Enrollment ID: I20140918000765 |
| Provider Name | Angela M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474600 PECOS PAC ID: 7113145970 Enrollment ID: I20220216002216 |
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