Provider Demographics
NPI:1801515440
Name:EISERMANN, CHRIS HEINZ
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:HEINZ
Last Name:EISERMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 EAST AVE STE K2
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1052
Mailing Address - Country:US
Mailing Address - Phone:530-898-9127
Mailing Address - Fax:530-898-8236
Practice Address - Street 1:1074 EAST AVE STE K2
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1052
Practice Address - Country:US
Practice Address - Phone:530-898-9127
Practice Address - Fax:530-898-8236
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2972237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist