Provider Demographics
NPI:1174522957
Name:HOUCHIN, ERIC J (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:HOUCHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6938 ELM VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-7436
Mailing Address - Country:US
Mailing Address - Phone:269-552-4233
Mailing Address - Fax:269-552-4216
Practice Address - Street 1:6938 ELM VALLEY DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-7436
Practice Address - Country:US
Practice Address - Phone:269-552-4233
Practice Address - Fax:269-552-4216
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301066310207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1174522957Medicaid
MI4190674Medicaid
MI1174522957Medicaid
MIM20520119 -BMGMedicare PIN
MIOMO4700Medicare ID - Type Unspecified