Eisenberg, Dana
Eisenberg, Dana is an sole proprietor health care provider with primary practice located at 528 Cleveland St , Missoula MT 59801-3743. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eisenberg, Dana can be contacted via phone (406) 549-6800.Contact Information
Primary practice address
528 Cleveland St
Missoula MT 59801-3743
Phone: (406) 549-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 59867 | Montana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 580 LCSW | Montana |
Profile Details
| NPI number | 1881643476 |
|---|---|
| LBN Legal business name | Eisenberg, Dana |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 13th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881643476 | NPPES |
| Montana | Other | 70095 | BCBS |
| Montana | MEDICAID | 502758 | BCBS |
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