Eisenbeisz, Lori J

Eisenbeisz, Lori J is an sole proprietor health care provider with primary practice located at 3043 Main St. , Bowdle SD 57428. She recently has only one registered license in Chiropractic Providers / Internist, which is considered as her primary health care specialty. Eisenbeisz, Lori J can be contacted via phone (605) 285-6944.

Contact Information

Primary practice address
3043 Main St. Bowdle SD 57428
Fax: (605) 285-6941
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 817 South Dakota

Profile Details

NPI number 1013062280
LBN Legal business name Eisenbeisz, Lori J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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 1013062280 NPPES
South Dakota MEDICAID 7601210

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