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NPI Code Detail

MEDICARE: MR. ERIC W EISELT D.C.

MEDICARE: MR. ERIC W EISELT D.C.
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
1111N00000XChiropractor2297OH

Other Identifiers

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

General Provider Information

NPI Number : 1275519647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC W EISELT D.C.
Provider Business Mailing Address
First Line : 455 DELTA AVE
Second Line : SUITE 1
City : CINCINNATI
State : OH
Zip : 45226-1127
Country : US
Telephone Number : 513-321-8484
Fax Number : 513-321-3676
Provider Business Practice Location Address
First Line : 455 DELTA AVE
Second Line : SUITE 1
City : CINCINNATI
State : OH
Zip : 45226-1127
Country : US
Telephone Number : 513-321-8484
Fax Number : 513-321-3676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 04/21/2011

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