Doctor Name: | MR. ADAM DALE EINHARDT |
NPI Number: | 1144477829 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | |
Business Practice Address: | Raf Lakenheath, Unit 5210 Box 230 Apo, AE - 09461 |
Business Phone Number: | 7193335183 |
Business Fax Number: | |
Mailing Address: | Unit 5210, Box 230 APO |
State: | AE |
Postal Code: | 09461 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 11/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |