Eisenberg, Jacalyn

Eisenberg, Jacalyn is an individual health care provider with primary practice located at 7316 Bowlyn Pl S , Seattle WA 98118-4208. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Eisenberg, Jacalyn can be contacted via phone (206) 910-4203.

Contact Information

Primary practice address
7316 Bowlyn Pl S Seattle WA 98118-4208
Phone: (206) 910-4203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X

Profile Details

NPI number 1679980189
LBN Legal business name Eisenberg, Jacalyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2014
Last updated Jul 16th, 2014 - about 12 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 1679980189 NPPES
Washington MEDICAID 200926248WA

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