Healthcare Provider Details

I. General information

NPI: 1578018099
Provider Name (Legal Business Name): ALEENA CHRISTINE EIGEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 6TH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

2258 NIMISHILLEN CHURCH RD NE
CANTON OH
44721-1026
US

V. Phone/Fax

Practice location:
  • Phone: 330-456-2695
  • Fax: 330-588-8605
Mailing address:
  • Phone: 330-495-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: