Daetsch, Eileen

Daetsch, Eileen is an individual health care provider with primary practice located at 3980 Sheridan Dr 6Th Floor, Amherst NY 14226-1727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Daetsch, Eileen can be contacted via phone (716) 882-6544.

Contact Information

Primary practice address
3980 Sheridan Dr 6Th Floor Amherst NY 14226-1727
Phone: (716) 882-6544
Fax: (716) 882-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F300156-1 New York

Profile Details

NPI number 1477644508
LBN Legal business name Daetsch, Eileen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Sep 23rd, 2019 - about 5 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 1477644508 NPPES
New York Other 9512106 INDEPENDENT HEALTH
New York Other 00026511101 INDEPENDENT HEALTH
New York MEDICAID 01816059 INDEPENDENT HEALTH
New York Other 005603231 INDEPENDENT HEALTH

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