Eric Eidem in Rapid City - Physician Assistant

Eric Eidem - NPI 1174633614

Eric Eidem is a Physician Assistant in Rapid City, South Dakota. Eric Eidem practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Eric Eidem is 1174633614. The last update date is 2017-03-01.

Eric Eidem's current location address is 7220 S Highway 16, Rapid City, South Dakota. You can contact this provider via phone number 6053411414 and fax number 6053417062. The mailing address for Eric Eidem is 7220 S Highway 16, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Eidem
Address 7220 S Highway 16, Rapid City, South Dakota
Phone Number 6053411414
Fax Number 6053417062
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1174633614
Provider Enumeration Date 2006-08-30
Last Updated Date 2017-03-01

Provider Mailing Address Detail

Address 7220 S Highway 16
City Rapid City
State South Dakota (SD)
Post Code 577028708
Phone Number 6053411414
Fax Number 6053417062

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 486
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Eric Eidem

What is the unique 10-digit identifier code issued to Eric Eidem by the Centers for Medicare & Medicaid Services?

The Eric Eidem has been assigned the NPI (National Provider Identifier) 1174633614 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Eric Eidem?

The Eric Eidem is situated at 7220 S Highway 16, in the city of Rapid City, state of SD, with the zip code 577028708.

What is Eric Eidem's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Eric Eidem is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did Eric Eidem receive its 1174633614 assignment from the Centers for Medicare & Medicaid Services?

The Eric Eidem was assigned its 1174633614 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Eric Eidem most recently updated?

The details pertaining to the Eric Eidem, including its address, specialty, and other relevant information, were last refreshed on 2017-03-01.

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