Provider Demographics
NPI:1871270389
Name:ALBRECHT, ERIC LEE
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:LEE
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SANDY CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOREB
Mailing Address - State:WI
Mailing Address - Zip Code:53572-2344
Mailing Address - Country:US
Mailing Address - Phone:608-576-2036
Mailing Address - Fax:
Practice Address - Street 1:113 SANDY CT
Practice Address - Street 2:
Practice Address - City:MOUNT HOREB
Practice Address - State:WI
Practice Address - Zip Code:53572-2344
Practice Address - Country:US
Practice Address - Phone:608-576-2036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program