Eisenberg, Alan D

Eisenberg, Alan D is an individual health care provider with primary practice located at 7600 Wolf River Blvd Ste 200, Germantown TN 38138-1784. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eisenberg, Alan D can be contacted via phone (901) 747-1000.

Contact Information

Primary practice address
7600 Wolf River Blvd Ste 200 Germantown TN 38138-1784
Fax: (901) 383-8985
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21521 Tennessee

Profile Details

NPI number 1982656484
LBN Legal business name Eisenberg, Alan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 10th, 2016 - about 8 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 1982656484 NPPES
Tennessee MEDICAID 3062300
Tennessee Other 132605
Tennessee Other 96065
Tennessee MEDICAID 0116070
Tennessee MEDICAID 120412001

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