Doctor Name: | JEFFREY HASSEL EIFLER |
NPI Number: | 1003178690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 07001198A |
Business Practice Address: | 1723 E Bristol St Ortho Office 6th Flood Elkhart, IN - 465143968 |
Business Phone Number: | 5742647180 |
Business Fax Number: | |
Mailing Address: | 3622 N Ashland Ave, CHICAGO |
State: | IL |
Postal Code: | 606133618 |
Phone Number: | 2696555568 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 07001198A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |