Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN HENRY EIDEM, DC
Active Sole ProprietorJOHN HENRY EIDEM, DC is a Chiropractor healthcare provider located in HORICON, Wisconsin. NPI 1013992627 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · HORICON, WI
Registration Details
- NPI Number
- 1013992627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.70352080056 yrs)
- Last Updated
- Jul 29, 2010
- License
-
2303012 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
514 E LAKE STHORICON, WI, 530321247Browse WI providers · Browse ZIP 53032
- Phone
- 9204854009
- Fax
- 9204850632
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in HORICON, WI
| Name | Credential | NPI |
|---|---|---|
| STEVEN EIDEM | D.C. | 1215351267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.