Eichenbaum, Matthew Dan
Eichenbaum, Matthew Dan is an individual health care provider with primary practice located at 3401 Brandywine Pkwy Ste101, Wilmington DE 19803-1554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Eichenbaum, Matthew Dan can be contacted via phone (302) 655-9494.Contact Information
Primary practice address
3401 Brandywine Pkwy Ste101
Wilmington DE 19803-1554
Phone: (302) 655-9494
Fax: (302) 479-1559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD432176 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | C1-0009482 | Delaware |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | C1-0009482 | Delaware |
Profile Details
| NPI number | 1831216746 |
|---|---|
| LBN Legal business name | Eichenbaum, Matthew Dan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Mar 7th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831216746 | NPPES |
| Delaware | MEDICAID | 1831216746 | |
| Delaware | Other | 3810352000 | |
| Delaware | Other | 9128542 | |
| Delaware | Other | P00908709 |
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