Eisenberg, Barry I
Eisenberg, Barry I is an individual health care provider with primary practice located at 743 Jefferson Ave Ste 104, Scranton PA 18510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eisenberg, Barry I can be contacted via phone (570) 346-4621.Contact Information
Primary practice address
743 Jefferson Ave Ste 104
Scranton PA 18510
Phone: (570) 346-4621
Fax: (570) 346-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS002883L | Pennsylvania |
Profile Details
| NPI number | 1033164157 |
|---|---|
| LBN Legal business name | Eisenberg, Barry I |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Dec 18th, 2013 - about 11 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 | 1033164157 | NPPES |
| Pennsylvania | MEDICAID | 0015091060006 |
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