Eichhorn, Dezra J

Eichhorn, Dezra J is an individual health care provider with primary practice located at 1120 S. Main St. Suite C, Searcy AR 72143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Eichhorn, Dezra J can be contacted via phone (501) 230-9181.

Contact Information

Primary practice address
1120 S. Main St. Suite C Searcy AR 72143
Phone: (501) 230-9181
Fax: (501) 268-0134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A01585 Arkansas

Profile Details

NPI number 1871688663
LBN Legal business name Eichhorn, Dezra J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871688663 NPPES
Arkansas MEDICAID 179293758

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