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John Henry Eidem, DC
Chiropractor in Horicon, Wisconsin
NPI 1013992627

John Henry Eidem is a Chiropractor based in Horicon, WI. John Henry Eidem practices in Horicon, WI and has the professional credentials of DC. The NPI Number for John Henry Eidem is 1013992627 and holds a License No. 2303012 (Wisconsin).

The current practice location address for John Henry Eidem is 514 E Lake St, Horicon, WI and can be reached out via phone at 920-485-4009 and via fax at 920-485-0632.

Location: 514 E Lake St, Horicon, WI, 53032-1247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013992627
Provider Name
John Henry Eidem
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
514 E Lake St, Horicon, WI, 53032-1247
Phone Number
920-485-4009
Fax Number
920-485-0632
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38850600 05 WI
institution
Provider Business Practice Location Address Details
Address
514 E Lake St
City
Horicon
State
Wisconsin
Zip
53032-1247
Phone Number
920-485-4009
Fax Number
920-485-0632
person
Provider Business Mailing Address Details
Address
514 E Lake St
City
Horicon
State
Wisconsin
Zip
53032-1247
Phone Number
920-485-4009
Fax Number
920-485-0632
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2303012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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