Eisen, David J

Eisen, David J is an individual health care provider with primary practice located at 800 Prudential Dr Baptist Medical Center-Downtown, Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Eisen, David J can be contacted via phone (904) 202-1347.

Contact Information

Primary practice address
800 Prudential Dr Baptist Medical Center-Downtown Jacksonville FL 32207-8202
Phone: (904) 202-1347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 183233-1 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME100238 Florida

Profile Details

NPI number 1104899434
LBN Legal business name Eisen, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Sep 1st, 2010 - about 14 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 1104899434 NPPES
Florida Other 30275 BCBS
Florida MEDICAID 2808285-00 BCBS

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