Eiberson, Jeffrey Lawrence
Eiberson, Jeffrey Lawrence is an sole proprietor health care provider with primary practice located at 1326 Spruce St Suite #1905, Philadelphia PA 19107-5826. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eiberson, Jeffrey Lawrence can be contacted via phone (215) 546-1767.Contact Information
Primary practice address
1326 Spruce St Suite #1905
Philadelphia PA 19107-5826
Phone: (215) 546-1767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PA LIC. #PS002959L | Pennsylvania |
Profile Details
| NPI number | 1629058870 |
|---|---|
| LBN Legal business name | Eiberson, Jeffrey Lawrence |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629058870 | NPPES |
| Pennsylvania | Other | 246945000 | MAGELLAN HEALTH CARE |
| Pennsylvania | Other | 4365980 | MAGELLAN HEALTH CARE |
| Pennsylvania | Other | 438240 | MAGELLAN HEALTH CARE |
| Pennsylvania | Other | 0063120000 | MAGELLAN HEALTH CARE |
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