Eisenach, James Conrad

Eisenach, James Conrad is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Eisenach, James Conrad can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29912 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29912 North Carolina

Profile Details

NPI number 1932184801
LBN Legal business name Eisenach, James Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 30th, 2017 - about 7 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 1932184801 NPPES
South Carolina MEDICAID Q29912
South Carolina Other 402
South Carolina MEDICAID 5728495
South Carolina Other 63954
South Carolina MEDICAID 8930273
South Carolina Other 30259
South Carolina MEDICAID 3810001302
South Carolina Other 4098394

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