Eric Allen Eichline, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313582 Issued in WI

Practice address

N9402 County Road X
Portage, WI 53901-9462

Phone

(608) 981-2045

NPI assigned

May 3, 2012

Last updated

May 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1659630127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9402 HWY X",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "53901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9402 COUNTY ROAD X",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019462",
            "telephone_number": "608-981-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHLINE",
        "first_name": "ERIC",
        "middle_name": "ALLEN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "313582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Elliott & Webb, S.C.
• Lynne Giacomino Dugolenski, M.A.,CCC/SLP
• Eas-Z Medical Transport LLC
• Lana Marie Edwards, MS CCCSLP
• Kelsey Ehlert, BSN, RN
• Kaitlin Eichman, DPT
• Sarah Eisemann, DPT
• Barry D. Erath, LCSW
• Brent Erickson, MS, SAC
• Elizabeth Abbs Erickson

• Licensed Practical Nurse in Portage, WI
• Providers in Portage, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.