MEDICARE: MR. DANIEL J EICHENBERGER MD

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	207R00000X	Internal Medicine Physician	01039624	IN
2	208000000X	Pediatrics Physician	01039624	IN
3	208M00000X	Hospitalist Physician	01039624A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255316527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL J EICHENBERGER MD

Provider Business Mailing Address
First Line	:	800 HIGHLANDER POINT DR
Second Line	:	SUITE 300
City	:	FLOYDS KNOBS
State	:	IN
Zip	:	47119-9465
Country	:	US
Telephone Number	:	812-923-4106
Fax Number	:	812-923-4100

Provider Business Practice Location Address
First Line	:	800 HIGHLANDER POINT DR
Second Line	:	SUITE 300
City	:	FLOYDS KNOBS
State	:	IN
Zip	:	47119-9465
Country	:	US
Telephone Number	:	812-923-4106
Fax Number	:	812-923-4100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	01/02/2020

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Directions to “ MR. DANIEL J EICHENBERGER MD” Practice Location

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