Eisma, Alejandro A

Eisma, Alejandro A is an individual health care provider with primary practice located at 1300 South Drive Winnebago Mental Health Institute, Winnebago WI 54985-0009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eisma, Alejandro A can be contacted via phone (920) 235-4910.

Contact Information

Primary practice address
1300 South Drive Winnebago Mental Health Institute Winnebago WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 236-2931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43119 Wisconsin

Profile Details

NPI number 1225026990
LBN Legal business name Eisma, Alejandro A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225026990 NPPES
Wisconsin MEDICAID 34115400

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