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Contact Information

EHRENTRAUD J EICHELBAUM, MD
212 S FLORIDA ST
BUSHNELL, FL33513-6703
 Phone: 352-793-2441
 Fax: 352-793-3282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for EHRENTRAUD J EICHELBAUM · (Female)

NPI Number 1255518486
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2008
Last updated 06/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME140028
  • IL License # 238000185
  • PR License # 18573
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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