Eis, Michael
Eis, Michael is an individual health care provider with primary practice located at N91W17271 Appleton Ave Suite 1, Menomonee Falls WI 53051-2045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Eis, Michael can be contacted via phone (262) 502-3300.Contact Information
Primary practice address
N91W17271 Appleton Ave Suite 1
Menomonee Falls WI 53051-2045
Phone: (262) 502-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 43372 | Wisconsin |
Profile Details
| NPI number | 1689653214 |
|---|---|
| LBN Legal business name | Eis, Michael |
| Credentials | PHD, M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Aug 19th, 2015 - about 10 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 | 1689653214 | NPPES |
| Wisconsin | MEDICAID | 34115600 |
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