Doctor Name: | EDDIE SPLICHAL |
NPI Number: | 1013336965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1805 S. Ohio St. Salina, KS - 674016601 |
Business Phone Number: | 7858256224 |
Business Fax Number: | 7858257595 |
Mailing Address: | 1805 S. Ohio St., SALINA |
State: | KS |
Postal Code: | 674022117 |
Phone Number: | 7858256224 |
Fax Number: | 7858277895 |
NPI Enumeration Date: | 04/08/2014 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |