Eidenberg, Marshall Edward
Eidenberg, Marshall Edward is an individual health care provider with primary practice located at 2220 Canterbury Dr , Hays KS 67601-2370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Eidenberg, Marshall Edward can be contacted via phone (785) 623-5555.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 05-32944 | Kansas |
Profile Details
| NPI number | 1558352559 |
|---|---|
| LBN Legal business name | Eidenberg, Marshall Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 8th, 2016 - about 9 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 | 1558352559 | NPPES |
| Kansas | MEDICAID | 200548360A |
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