Provider Demographics
NPI:1821229527
Name:EICHHORN AND COMPANY
Entity type:Organization
Organization Name:EICHHORN AND COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEZRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:EICHHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-278-6373
Mailing Address - Street 1:134 PANTHER TRL
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-9207
Mailing Address - Country:US
Mailing Address - Phone:501-278-6373
Mailing Address - Fax:501-268-0134
Practice Address - Street 1:1120 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7319
Practice Address - Country:US
Practice Address - Phone:501-230-9181
Practice Address - Fax:501-268-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01585363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W721Medicare PIN