Eickert, Suzanne

Eickert, Suzanne is an sole proprietor health care provider with primary practice located at 1500 Heritage Rd Ste A , De Pere WI 54115-4017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Chiropractic Providers / Chiropractor. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Eickert, Suzanne can be contacted via phone (920) 347-1990.

Contact Information

Primary practice address
1500 Heritage Rd Ste A De Pere WI 54115-4017
Phone: (920) 347-1990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6239-33 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 3298 Wisconsin

Profile Details

NPI number 1629034509
LBN Legal business name Eickert, Suzanne
Credentials APNP, DC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Jul 14th, 2015 - about 9 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 1629034509 NPPES
Wisconsin Other K400210431 MEDICARE ID ASSOCIATED WITH REASSIGNMENT OF BENEFITS
Wisconsin MEDICAID 38990100 MEDICARE ID ASSOCIATED WITH REASSIGNMENT OF BENEFITS

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