Eisworth, Sarah Wallace

Eisworth, Sarah Wallace is an individual health care provider with primary practice located at 19900 Old Scenic Hwy , Zachary LA 70791-7368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eisworth, Sarah Wallace can be contacted via phone (225) 570-2618.

Contact Information

Primary practice address
19900 Old Scenic Hwy Zachary LA 70791-7368
Phone: (225) 570-2618
Fax: (225) 570-8539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 06938 Louisiana

Profile Details

NPI number 1225393283
LBN Legal business name Eisworth, Sarah Wallace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Jan 23rd, 2020 - about 6 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 1225393283 NPPES
Louisiana MEDICAID 2452037

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