Eichenbaum, Mark Samuel
Eichenbaum, Mark Samuel is an sole proprietor health care provider with primary practice located at 4320 Central Ave , Saint Petersburg FL 33711-1141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Eichenbaum, Mark Samuel can be contacted via phone (727) 345-3621.Contact Information
Primary practice address
4320 Central Ave
Saint Petersburg FL 33711-1141
Phone: (727) 345-3621
Fax: (727) 381-4934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME 100677 | Florida |
Profile Details
| NPI number | 1871764977 |
|---|---|
| LBN Legal business name | Eichenbaum, Mark Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2008 |
| Last updated | Feb 29th, 2012 - about 13 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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