MEDICARE: EICHHORST CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC26029	CA

General Provider Information

NPI Number	:	1518143528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EICHHORST CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	500 E CALAVERAS BLVD STE 104
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-7708
Country	:	US
Telephone Number	:	408-262-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E CALAVERAS BLVD STE 104
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-7708
Country	:	US
Telephone Number	:	408-262-6620
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. KEVIN EICHHORST
Credential	:	D.C.
Telephone Number	:	408-262-6620

Provider Enumeration Date	:	01/21/2008
Last Update Date	:	01/14/2010

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