Provider Demographics
NPI:1669861704
Name:EICHELBERGER, SANDRA SIMS (MAC, DIPL AC LAC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:SIMS
Last Name:EICHELBERGER
Suffix:
Gender:F
Credentials:MAC, DIPL AC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 HAWKSBILL CT
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-9012
Mailing Address - Country:US
Mailing Address - Phone:301-938-4836
Mailing Address - Fax:
Practice Address - Street 1:3601 TRENT RD
Practice Address - Street 2:SUITE 3
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2282
Practice Address - Country:US
Practice Address - Phone:301-938-4836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC736171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist