Eisenman, Daniel D
Eisenman, Daniel D is an sole proprietor health care provider with primary practice located at 705 Jesse Jewell Pkwy Se Suite 175, Gainesville GA 30501-3867. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eisenman, Daniel D can be contacted via phone (770) 718-9790.Contact Information
Primary practice address
705 Jesse Jewell Pkwy Se Suite 175
Gainesville GA 30501-3867
Phone: (770) 718-9790
Fax: (770) 718-5531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003084 | Georgia |
Profile Details
| NPI number | 1376757856 |
|---|---|
| LBN Legal business name | Eisenman, Daniel D |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Oct 30th, 2008 - about 18 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 | 1376757856 | NPPES |
| Georgia | Other | GRP7811 | MEDICARE B |
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