Provider Demographics
NPI:1558519223
Name:EICHORST, HAROLD ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ANDREW
Last Name:EICHORST
Suffix:
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 1:3601 PALOMAR CENTRE DR
Mailing Address - Street 2:SUTIE 140
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1186
Mailing Address - Country:US
Mailing Address - Phone:859-224-8379
Mailing Address - Fax:859-224-8379
Practice Address - Street 1:3601 PALOMAR CENTRE DR
Practice Address - Street 2:SUTIE 140
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1186
Practice Address - Country:US
Practice Address - Phone:859-224-8379
Practice Address - Fax:859-224-8379
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010734111N00000X
KY5308111N00000X
FLCH 11474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK019540Medicare PIN