Eisen, Alexander Mark

Eisen, Alexander Mark is an individual health care provider with primary practice located at 105 E Watts St , Enterprise AL 36330-2511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Eisen, Alexander Mark can be contacted via phone (334) 393-5437.

Contact Information

Primary practice address
105 E Watts St Enterprise AL 36330-2511
Phone: (334) 393-5437
Fax: (334) 393-4185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102201876 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5800150 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0102201876 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO.1311 Alabama

Profile Details

NPI number 1366490682
LBN Legal business name Eisen, Alexander Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 9th, 2021 - about 4 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 1366490682 NPPES
Virginia MEDICAID 0102201876
Virginia MEDICAID 146239

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