Eisenberg, Dana

Eisenberg, Dana is an sole proprietor health care provider with primary practice located at 528 Cleveland St , Missoula MT 59801-3743. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eisenberg, Dana can be contacted via phone (406) 549-6800.

Contact Information

Primary practice address
528 Cleveland St Missoula MT 59801-3743
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 59867 Montana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 580 LCSW Montana

Profile Details

NPI number 1881643476
LBN Legal business name Eisenberg, Dana
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Oct 13th, 2015 - about 9 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 1881643476 NPPES
Montana Other 70095 BCBS
Montana MEDICAID 502758 BCBS

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