Provider Demographics
NPI:1467517128
Name:EILRICH FAMILY CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:EILRICH FAMILY CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:EILRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-384-3800
Mailing Address - Street 1:1620 HIGHWAY 60 W
Mailing Address - Street 2:SUITE #1
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-4874
Mailing Address - Country:US
Mailing Address - Phone:507-384-3800
Mailing Address - Fax:507-384-3803
Practice Address - Street 1:1620 HIGHWAY 60 W
Practice Address - Street 2:SUITE #1
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-4874
Practice Address - Country:US
Practice Address - Phone:507-384-3800
Practice Address - Fax:507-384-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-23
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty