1730126426 NPI number — MARGARET L EICHER PA C

Table of content: MARGARET L EICHER PA C (NPI 1730126426)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730126426 NPI number — MARGARET L EICHER PA C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EICHER
Provider First Name:
MARGARET
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HASTINGS
Provider Other First Name:
MARGARET
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1730126426
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/22/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
166 DEFENSE HWY
Provider Second Line Business Mailing Address:
STE 300
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401-8926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-808-1810
Provider Business Mailing Address Fax Number:
443-214-5356

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2114 GENERALS HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-7488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-332-4260
Provider Business Practice Location Address Fax Number:
410-721-3771
Provider Enumeration Date:
06/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  C0003172 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)