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

Primary practice address
2220 Canterbury Dr Hays KS 67601-2370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558352559 NPPES
Kansas MEDICAID 200548360A

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