Provider Demographics
NPI:1326412297
Name:EICHHORN, WARREN II (DC)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:
Last Name:EICHHORN
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 GENITO RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4007
Mailing Address - Country:US
Mailing Address - Phone:804-744-3542
Mailing Address - Fax:
Practice Address - Street 1:13700 GENITO RD
Practice Address - Street 2:SUITE 4
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4007
Practice Address - Country:US
Practice Address - Phone:804-744-3542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor