Eisemann, Timothy

Eisemann, Timothy is an individual health care provider with primary practice located at 52 Third Ave , Brentwood NY 11717. He recently has only one registered license in Nursing Service Providers / School, which is considered as his primary health care specialty. Eisemann, Timothy can be contacted via phone (631) 434-2401.

Contact Information

Primary practice address
52 Third Ave Brentwood NY 11717
Phone: (631) 434-2401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 688996 New York

Profile Details

NPI number 1114496262
LBN Legal business name Eisemann, Timothy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114496262 NPPES
Other 0 N/A

Popular Providers