Eichenlaub, Pamela A.

Eichenlaub, Pamela A. is an individual health care provider with primary practice located at 4900 Broad Rd , Syracuse NY 13215-2265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perinatal, which is considered as her primary health care specialty. Eichenlaub, Pamela A. can be contacted via phone (315) 492-5899.

Contact Information

Primary practice address
4900 Broad Rd Syracuse NY 13215-2265
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X F390013-1 New York

Profile Details

NPI number 1215059886
LBN Legal business name Eichenlaub, Pamela A.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215059886 NPPES
New York Other F390013-1 NP LICENSE NUMBER

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