Provider Demographics
NPI:1568981025
Name:EIM CHOICE CARE PC
Entity Type:Organization
Organization Name:EIM CHOICE CARE PC
Other - Org Name:EIM CHOICE CARE PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NEISCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-552-1710
Mailing Address - Street 1:28315 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1687
Mailing Address - Country:US
Mailing Address - Phone:586-552-1710
Mailing Address - Fax:586-552-1715
Practice Address - Street 1:28315 HARPER AVE
Practice Address - Street 2:
Practice Address - City:ST CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081
Practice Address - Country:US
Practice Address - Phone:586-552-1710
Practice Address - Fax:586-552-1715
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTSIDE INTERNAL MEDICINE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty