Eisen, Eric Andrew
Eisen, Eric Andrew is an individual health care provider with primary practice located at 1231 116Th Ave Ne Ste 930 , Bellevue WA 98004-3804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Eisen, Eric Andrew can be contacted via phone (425) 688-1916.Contact Information
Primary practice address
1231 116Th Ave Ne Ste 930
Bellevue WA 98004-3804
Phone: (425) 688-1916
Fax: (425) 688-1901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | MD61047604 | Washington |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD61047604 | Washington |
Profile Details
NPI number | 1104203793 |
---|---|
LBN Legal business name | Eisen, Eric Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2015 |
Last updated | Aug 17th, 2023 - about 2 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 | 1104203793 | NPPES |
Washington | MEDICAID | 2160928 | |
Washington | Other | 427413 |
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