Eiberson, Jeffrey Lawrence

Eiberson, Jeffrey Lawrence is an sole proprietor health care provider with primary practice located at 1326 Spruce St Suite #1905, Philadelphia PA 19107-5826. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eiberson, Jeffrey Lawrence can be contacted via phone (215) 546-1767.

Contact Information

Primary practice address
1326 Spruce St Suite #1905 Philadelphia PA 19107-5826
Phone: (215) 546-1767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PA LIC. #PS002959L Pennsylvania

Profile Details

NPI number 1629058870
LBN Legal business name Eiberson, Jeffrey Lawrence
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629058870 NPPES
Pennsylvania Other 246945000 MAGELLAN HEALTH CARE
Pennsylvania Other 4365980 MAGELLAN HEALTH CARE
Pennsylvania Other 438240 MAGELLAN HEALTH CARE
Pennsylvania Other 0063120000 MAGELLAN HEALTH CARE

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