Eisenstadt, Mark A
Eisenstadt, Mark A is an individual health care provider with primary practice located at 118 E 8Th St , Port Angeles WA 98362-6129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Eisenstadt, Mark A can be contacted via phone (360) 457-0431.Contact Information
Primary practice address
118 E 8Th St
Port Angeles WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00021500 | Washington |
Profile Details
| NPI number | 1528196482 |
|---|---|
| LBN Legal business name | Eisenstadt, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528196482 | NPPES |
| Washington | MEDICAID | 1228006 |
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