Provider Demographics
NPI:1184798209
Name:KIRCHER, EDWIN LOUIS (CSFA, SA-C)
Entity type:Individual
Prefix:
First Name:EDWIN
Middle Name:LOUIS
Last Name:KIRCHER
Suffix:
Gender:M
Credentials:CSFA, SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71995
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1017
Mailing Address - Country:US
Mailing Address - Phone:602-618-3538
Mailing Address - Fax:602-482-8605
Practice Address - Street 1:7878 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4449
Practice Address - Country:US
Practice Address - Phone:602-618-3538
Practice Address - Fax:602-482-8605
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist