Provider Demographics
NPI:1144372467
Name:EEKHOFF, MICHAEL DAVID (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DAVID
Last Name:EEKHOFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:655 GOLF CLUB PL SE STE C
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1089
Mailing Address - Country:US
Mailing Address - Phone:360-352-8896
Mailing Address - Fax:360-705-0633
Practice Address - Street 1:655 GOLF CLUB PL SE STE C
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1089
Practice Address - Country:US
Practice Address - Phone:360-352-8896
Practice Address - Fax:360-705-0633
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor