Eison, Theodore Matthew

Eison, Theodore Matthew is an individual health care provider with primary practice located at 200 Patewood Dr Ste A115 , Greenville SC 29615-3547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Eison, Theodore Matthew can be contacted via phone (864) 454-5105.

Contact Information

Primary practice address
200 Patewood Dr Ste A115 Greenville SC 29615-3547
Phone: (864) 454-5105
Fax: (864) 454-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 42534 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 35122 South Carolina

Profile Details

NPI number 1184773582
LBN Legal business name Eison, Theodore Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 22nd, 2018 - about 8 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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