Provider Demographics
NPI:1710792288
Name:SIH, EUNICE N
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:N
Last Name:SIH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18976 IVANHOE ST NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-5001
Mailing Address - Country:US
Mailing Address - Phone:612-458-6391
Mailing Address - Fax:
Practice Address - Street 1:18976 IVANHOE ST NW
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-5001
Practice Address - Country:US
Practice Address - Phone:612-458-6391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor