Eisenberg, Andrew Cole
Eisenberg, Andrew Cole is an individual health care provider with primary practice located at 700 Medical Blvd , Englewood FL 34223-3964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Eisenberg, Andrew Cole can be contacted via phone (800) 476-8646.Contact Information
Primary practice address
700 Medical Blvd
Englewood FL 34223-3964
Phone: (800) 476-8646
Fax: (919) 382-3210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME0092155 | Florida |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J6937 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J6937 | Texas |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.021415 | Louisiana |
Profile Details
NPI number | 1659375020 |
---|---|
LBN Legal business name | Eisenberg, Andrew Cole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Jun 24th, 2021 - about 3 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 | 1659375020 | NPPES |
Texas | Other | 8BA390 | BCBS |
Texas | MEDICAID | 129389608 | BCBS |
Texas | Other | 07749 | BCBS |
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