Eisdorfer, Jacob
Eisdorfer, Jacob is an sole proprietor health care provider with primary practice located at 1162 42Nd St , Brooklyn NY 11219-1213. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Dentist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Eisdorfer, Jacob can be contacted via phone (347) 209-7158.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 00055621 | New York |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 22DI02480400 | New Jersey |
Dental Providers / Dentist | 122300000X | 00055621 | New York |
Dental Providers / Dentist | 122300000X | 22DI02480400 | New Jersey |
Profile Details
NPI number | 1881919728 |
---|---|
LBN Legal business name | Eisdorfer, Jacob |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2010 |
Last updated | Mar 24th, 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 | 1881919728 | NPPES |
New York | MEDICAID | 03355406 |
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