Eisner, Jerry D.

Eisner, Jerry D. is an individual health care provider with primary practice located at 1400 E. Kincaid St. Skagit Regional Clinics, Mount Vernon WA 98274-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Eisner, Jerry D. can be contacted via phone (360) 814-6200.

Contact Information

Primary practice address
1400 E. Kincaid St. Skagit Regional Clinics Mount Vernon WA 98274-4127
Phone: (360) 814-6200
Fax: (360) 814-6210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00014819 Washington

Profile Details

NPI number 1215923354
LBN Legal business name Eisner, Jerry D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 5th, 2012 - about 14 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 1215923354 NPPES
Washington Other 263627 LABOR & INDUSTRIES
Washington MEDICAID 8354912 LABOR & INDUSTRIES

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