Eisen, Nancy J

Eisen, Nancy J is an individual health care provider with primary practice located at 1507 Rivery Blvd , Georgetown TX 78628-3058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eisen, Nancy J can be contacted via phone (512) 509-9550.

Contact Information

Primary practice address
1507 Rivery Blvd Georgetown TX 78628-3058
Phone: (512) 509-9550
Fax: (512) 509-9555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K5519 Texas

Profile Details

NPI number 1629136387
LBN Legal business name Eisen, Nancy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated May 11th, 2022 - about 4 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 1629136387 NPPES
Texas Other P00770770 RRMCR
Texas MEDICAID 142166104 RRMCR
Texas MEDICAID 142166103 RRMCR

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