John Henry Eidem, DC

Chiropractor · Horicon, WI

Individual Active NPI

NPI number 1013992627

Practice location

514 E Lake St
Horicon, WI 53032-1247
Phone
(920) 485-4009
Fax
(920) 485-0632

Open in Google Maps

NPI record

NPI
1013992627
Entity type
Individual (Type 1)
Enumeration date
December 7, 2005
Last updated
July 29, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 2303012 WI

About Dr. Eidem

John Henry Eidem, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 514 E Lake St, Horicon, WI 53032-1247. The NPI number 1013992627 was assigned on December 7, 2005 and the record was last updated on July 29, 2010.

Dr. Eidem lists a license in the registry: #2303012 (WI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Henry Eidem, DC?

The NPI number is 1013992627.

What is the phone number of Dr. Eidem?

The phone number listed for the practice location is (920) 485-4009.

Where is Dr. Eidem located?

514 E Lake St, Horicon, WI 53032-1247.

What is the taxonomy code for Dr. Eidem?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Chiropractor providers in Horicon

All Chiropractor providers in Horicon, WI →