Eisenberg, Andrea J

Eisenberg, Andrea J is an individual health care provider with primary practice located at 28555 Orchard Lake Rd Ste 120, Farmington Hills MI 48334-2973. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Eisenberg, Andrea J can be contacted via phone (248) 489-1070.

Contact Information

Primary practice address
28555 Orchard Lake Rd Ste 120 Farmington Hills MI 48334-2973
Fax: (248) 489-0850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301054433 Michigan

Profile Details

NPI number 1174507156
LBN Legal business name Eisenberg, Andrea J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 9th, 2012 - about 12 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 1174507156 NPPES
Michigan MEDICAID 4133355

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