Provider Demographics
NPI:1659349819
Name:EICHER, MICHAEL RICHARD (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:RICHARD
Last Name:EICHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:MICHAEL
Other - Last Name:EICHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2147 RIVERCHASE OFFICE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1836
Mailing Address - Country:US
Mailing Address - Phone:205-403-8902
Mailing Address - Fax:205-982-0278
Practice Address - Street 1:2970 PELHAM PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1709
Practice Address - Country:US
Practice Address - Phone:205-621-6411
Practice Address - Fax:205-621-0794
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009949355Medicaid
AL051515978OtherBLUE CROSS BLUE SHIELD
ALP00111808OtherRAILROAD MEDICARE
AL051515978OtherBLUE CROSS BLUE SHIELD
AL009949355Medicaid