Provider Demographics
NPI:1740606292
Name:EIM SERVICES LLC
Entity Type:Organization
Organization Name:EIM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-872-3352
Mailing Address - Street 1:1210 PHOENIX ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-7913
Mailing Address - Country:US
Mailing Address - Phone:269-872-3352
Mailing Address - Fax:269-872-3357
Practice Address - Street 1:1210 PHOENIX ST
Practice Address - Street 2:SUITE 6
Practice Address - City:SOUTH HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49090-7913
Practice Address - Country:US
Practice Address - Phone:269-872-3352
Practice Address - Fax:269-872-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty