Eisenberg, Burton
Eisenberg, Burton is an sole proprietor health care provider with primary practice located at 10 South Ave , Wyncote PA 19095-1320. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eisenberg, Burton can be contacted via phone (215) 572-7712.Contact Information
Primary practice address
10 South Ave
Wyncote PA 19095-1320
Phone: (215) 572-7712
Fax: (215) 572-7712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0E004307L | Pennsylvania |
Profile Details
| NPI number | 1770523904 |
|---|---|
| LBN Legal business name | Eisenberg, Burton |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 27th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770523904 | NPPES |
| Pennsylvania | Other | E1281845 | BLUE |
| Pennsylvania | MEDICAID | 769290 | BLUE |
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