ERIC EIERDAM NPI 1164151411

NPI Information

NPI: 1164151411
Provider Name: ERIC EIERDAM
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
9017 LOGGERS MILL AVE
LAS VEGAS, NV
ZIP 89143
Phone: (702) 286-1181
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Eric Eierdam is an orthotic fitter in Las Vegas, NV. The provider is an individual trained in the management of fitting prefabricated orthoses. Eric Eierdam NPI is 1164151411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9017 LOGGERS MILL AVE
LAS VEGAS, NV
ZIP 89143-416
Phone: (702) 286-1181

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter		C53066	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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